google-site-verification: googlea33552291e834fff.html Education: MORE PROBLEMS WITH UC CARE (UPDATED WITH SETTLEMENT NEWS)

Monday, January 26, 2015

MORE PROBLEMS WITH UC CARE (UPDATED WITH SETTLEMENT NEWS)

As you may have heard, UC Care is suffering even more problems (or I should say people enrolled in UC Care are suffering more problems) as it heads into its second year.  On the one hand there are considerably higher premiums on many policies (you can see the new figures here and compare with your old payments).  But on the other, and even more significantly, UC Care continues to struggle to maintain Tier 1 service for all of the campuses.

On this issue, the most striking problem is the ongoing battle between Blue Shield and the Sutter Health system of hospitals.  The contract between Blue Shield and Sutter Health expired at the end of 2014 and conflicts between the two huge systems have prevented a new contract from being signed. UC is reporting that both sides have agreed, however, to a de facto extension of six months so that subscribers are not in any immediate danger of finding themselves without a health plan.  Both systems are seeking to portray themselves as defenders of patients (Sutter claims Blue Shield is trying to reduce payments while Blue Shield claims they are seeking to protect patients from imposed arbitration agreements and the potential of hiked premiums).  But of course each side is seeking to protect their own quite large revenues.

Although outside the control of UC, this crisis is reminiscent of the ongoing problems facing employees at UCSB.  As the UCSB Faculty Association has pointed out, UCSB still does not have Tier 1 access at the only full service hospital in their area.  If Blue Shield and Sutter Health cannot work the problem out, it is possible that the majority of the non-medical campuses will be left without access to their traditional range of health care options.

UC has provided some numbers to call at Blue Shield if you are having problems.  They can be found here.  It is also possible that other costs may go up during this dispute.


UPDATE:  Blue Cross and Sutter Health have agreed to a new 2 year contract.  You can find the press release HERE.

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