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AMG left networks, but we’re protecting members
AMG, the largest anesthesia provider in Middle Tennessee, notified us of their intent to leave our networks if they do not receive a 37% rate increase. Their proposal would drive up premiums and out-of-pocket costs for our members, so we couldn’t say yes. We have a responsibility to keep costs as low as we can, which means AMG will continue to be out-of-network for the foreseeable future.
What members need to know
As always, emergency care is covered as in-network, and BlueCross members experiencing a true emergency should always go to the closest facility.
Now that AMG has left our network, other services would be considered out-of-network. We encourage our members to seek care from in-network providers so they can make the most of their benefits. We’re committed to helping members find providers in their network.
If you have additional questions, please call the Member Service telephone number on the back of your Member ID card for assistance.
Why it matters
AMG is already one of the highest-paid anesthesia practices in the state, and they are asking for rate increases that would total millions more per year. Employers and members can’t afford these higher prices.
The No Surprises Act protects patients from unexpected medical bills, but some providers like AMG are using the Independent Dispute Resolution (IDR) process to get much higher payments than the law intended.
IDR is now a major factor in rising healthcare costs for Tennessee employers, but we’re continuing to advocate for affordability.
This matters because what we pay providers directly impacts what members and employers pay for coverage. Around 91 cents of every premium dollar goes toward paying providers for care.
