Cassandra Madison

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Blue Cross Blue Shield of Vermont seeks $10.3 million from state

MONTPELIER — Blue Cross Blue Shield of Vermont is seeking $10.3 million from the state for premiums and services it did not receive payment for as the insurer works to close out its 2016 book of business on the state’s health insurance exchange. It is the third year in a row since Vermont Health Connect launched that Blue Cross Blue Shield of Vermont and the state are undergoing a process known as reconciliation. The state paid $1.6 million to BCBS for the 2014 plan year and $3.5 million for the 2015 plan year. The reconciliation process is necessary because the state’s online insurance marketplace was not fully implemented when it launched and some technological elements did not function correctly, resulting in discrepancies within the billing and enrollment system of Vermont Health Connect. In some cases, consumers terminated their insurance plans but the change took months to take effect within the system. Continue Reading →

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