The state’s hospital association is calling on Minnesota officials to review what the trade organization describes as Blue Cross Blue Shield of Minnesota’s refusal to pay for “medically necessary services” even though the providers are members of the insurer’s network.
Blue Cross’s decision-making is “harming Minnesota’s hospitals and clinics and their patients with BCBS insurance,” the Minnesota Hospital Association said Monday as it called for an investigation into whether Blue Cross is “violating longstanding consumer protection laws.”
The hospital group said Blue Cross “has dramatically increased the number of services it will not cover or pay for without a prior authorization before patients can receive necessary medical treatment.” As an example, it cited a policy it will no longer pay for colonoscopies performed at certain hospitals based on where the hospital is located.