The role of BlueCross BlueShield of Tennessee is to provide our members and employer groups access to quality care at the best possible prices, while protecting them from rising healthcare costs. Our customers are facing an affordability crisis, and we’re responding by making changes that will provide them with much-needed savings. These changes include improving the way we review claims before they’re paid, to make sure they accurately align with the services provided, adjusting payment policies for mid-level providers, and lowering lab and drug costs in the BlueCare Tennessee program.
As a result of these changes, East Tennessee Children’s Hospital (ETCH), a pediatric hospital based in Knoxville, recently notified us of their intent to terminate their contract with BlueCross. If we are unable to reach a new agreement, then ETCH providers and affiliated outpatient facilities will be removed from our BlueCare and TennCareSelect plans, effective November 1, 2025.
We value the care ETCH clinicians provide and are committed to working toward a resolution that supports affordability and access for the Tennessee communities we serve. We know network changes are difficult, so we make them only when necessary. That’s why we are working to reach an agreement on a new contract before our current partnerships end on October 31, 2025. This will help us keep coverage affordable and better manage the cost of care for members and business customers across the state.
Please check back for additional updates.