MUSC sues Blue Cross Blue Shield for alleged nonpayment of patient care

The CEO of Medical University Hospital said Thursday that the largest health insurance company in the state owes MUSC money for providing care to Medicaid patients.

The hospital is suing BlueChoice HealthPlan of South Carolina for its failure to pay. MUSC filed a lawsuit against the company, a subsidiary of Blue Cross Blue Shield of South Carolina, last month.

Dr. Patrick Cawley, CEO of the hospital, told the MUSC Board of Trustees on Thursday that MUSC has provided more than $4 million in care to these patients. According to the lawsuit, the insurance company agreed to pay 60 percent of the total charges.

“We feel that Blue Cross has not fully honored the stipulations in those single contracts,” Cawley said. “We tried to work with them on that and it’s led to the situation we’re at now.”

Read more: http://www.postandcourier.com/20160811/160819872/musc-sues-blue-cross-blue-shield-for-alleged-nonpayment-of-patient-care