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Blue Cross Blue Shield NC rejects Mission Health offer for ACA policies

Blue Cross and Blue Shield of North Carolina has refused Mission Health's offer to accept the former's rates for policies bought on the Affordable Care Act exchange, the Triangle Business Journal reported Aug. 14.

The rejection comes as Mission Health, a hospital system in western North Carolina, continues to push for a renegotiation of their commercial and Medicare Advantage contracts. In July, it submitted a notice of intent to terminate its contracts, which expire midnight on Oct. 4. Mission Health argues "rapidly rising medical supply and pharmaceutical costs" make Blue Cross and Blue Shield's "forever zero" policy "simply unsustainable." But with Blue Cross and Blue Shield of North Carolina the only insurance company participating on the ACA exchange in the region, Mission Health on Aug. 10 offered to partially rescind its planned termination.

Blue Cross and Blue Shield of North Carolina has said its "customers already pay more for care at Mission Health than at many other health systems" and that "continued, significant price hikes are not sustainable." Furthermore, Mission Health's partial offer "is unfair to tens of thousands of other members," the Triangle Business Journal quotes Blue Cross and Blue Shield of North Carolina President and CEO Brad Wilson as saying.