Highmark BCBSWNY and Kaleida Health Announce New Long-Term Agreement

Sat, 19 Nov 2022 10:45 am

Ensures health plan membership continues to have in-network access to health care at health facilities

Earlier this week, Highmark Blue Cross Blue Shield of Western New York and Calida Health announced a new agreement that ensures Highmark’s membership will continue to have access to Calida Health’s hospitals, facilities and services.

“Calida Health and Highmark Blue Cross Blue Shield of Western New York share long traditions of caring for our communities,” said Dr. Michael Edbauer, President, Highmark Blue Cross Blue Shield of Western New York. “This new agreement ensures Kalida Health, as an important health care provider in our region, has the support it needs to continue serving our members and community members.”

A press release states, “As part of the new agreement, Highmark BCBSWNY to enhance its value-based reimbursement programs for preventive health care as part of its overall commitment to making health care affordable and accessible.” Will work with Kalida.

Kalida Health is the largest health care provider and largest private employer in the region, and a major teaching affiliate of the University at Buffalo. It is affiliated with the Great Lakes Health System of Western New York, Kalida Health, Erie County Medical Center and the University at Buffalo unifying unit.

“As we continue to recover from the pandemic, rebuild and re-imagine health care in Western New York, it is vitally important to have partners like Highmark Blue Cross Blue Shield, who have Will work with us to resolve the issue. Quality, access and affordability for our patients. Doing so – rebuilding and reimagining this entity, Kalida Health – will not be easy. Despite the pandemic being declared ‘over’ by many, we are far from it. Indeed, the financial and operational constraints we face are enormous for us and the entire hospital industry. So the need for change will come fast. We must be creative, and we must be nimble. All that said, I am confident that by working together with organizations like Highmark Blue Cross Blue Shield and our local payer community, we can get there.

The press release noted, “As the region’s flagship health plan, Highmark Blue Cross Blue Shield of Western New York is the most comprehensive hospital and hospital provider in the region for its membership both locally and nationally through Blue Cross Blue.” The physician network continues to offer the Shield ‘Blue Card’ programme.

Kalida Health Facilities has received the Blue Distinction Center+ designation by the Blue Cross Blue Shield Association (BCBSA) for the following:

√ Buffalo General Hospital, Spine Surgery

√ Buffalo General Hospital, Cardiac Care

√ Millard Fillmore Suburban Hospital, maternity care

√ Buffalo General Hospital, Bariatric Surgery

These designations are given by the Blue Cross Blue Shield Association (BCBSA) to only a select few hospitals and health systems across the country based on quality and cost criteria. In addition, Kalida Health Facilities has also been designated by the BCBSA as a Blue Distinction Center for the following:

√ Buffalo General Hospital, Knee and Hip Replacement

√ John R. Oishi Children’s Hospital, Maternity Care

√ Millard Fillmore Suburban Hospital, Knee and Hip Replacement

Specific terms of the contract agreement were not disclosed.

Kaleida Health is the largest health care provider and the largest private employer (10,000 employees) in Western New York. Buffalo General Medical Center, Bradford Regional Medical Center, DeGraff Memorial Hospital, Gates Vascular Institute, Millard Fillmore Suburban Hospital, Oishi Children’s Hospital, Olean General Hospital, plus the health system’s more than 80 clinics receive more than 1 million patients annually. Health Care Center. Calida Health operates the HighPoint and DeGraff Memorial Hospital skilled nursing facilities on Michigan, as well as the nation’s oldest – and original – Visiting Nursing Association. Calida Health also operates a major laboratory division as well as the Millard Fillmore Ambulatory Surgery Center. The organization is also affiliated with the entity that integrates Great Lakes Health, Kalida Health, Erie County Medical Center (ECMC) Corporation, and the University at Buffalo. Kaleida Health’s economic impact on Western New York exceeds $2.7 billion annually.

Highmark Blue Cross Blue Shield of Western New York, Highmark Western and NorthEastern New York Inc. is a trading name of Blue Cross Blue Shield Association, an independent licensee of Blue Cross Blue Shield Association. Since 1936, Highmark Blue Cross Blue Shield of Western New York has helped millions of people live healthier lives. Blue Cross Blue Shield offers a full range of insured, self-insured and government programs and services to businesses, families and individuals, as well as covering dental and vision plans and stop-loss coverage. As a community-based, non-profit health plan, Highmark Blue Cross Blue Shield makes significant contributions to organizations that strengthen and enrich the health of the community.

Leave a Comment