In a surprise announcement last Friday, more than a year after Blue Cross Blue Shield announced it would exit the TennCare business, Blue Cross decided it would come back aboard.
Gov. Don Sundquist hosted BCBS representatives in his office and laid out the new agreement:
1. Instead of 600,000 lives under Blue Cross, the giant non-profit insurance company would have at most 300,000, in East Tennessee rather than statewide.
2. Instead of being a no-risk, administrative services organization that just pays the bills (its status since last spring) Blue Cross would be a risk-taking Managed Care Organization (MCO). But the risk only extends up to $33 million