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WNCHA (Managed Care Dept.)

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What's New for February 2004                                     

We are pleased to announce the all product BCBS physician contracts for CVMC's hospital based physicians are now complete.

CVMG, PT/Rehab, Emergency Dept., and Psych department MDs will be participating in the BCBS PPO, POS and HMO products effective 2-1-04. Up until this time, these practices have only participated in the BCBS PPO product due to exclusivity issues.

As you will recall CVMC executed a contract with BCBS 10-1-03 for participation in their POS and HMO products and since then, we have been working with BCBSto finalize the hospital based MD agreements.

A few EXCEPTIONS:
1--Fairgrove Clinic has not completed the BCBS credentialing process. They were not originally contracted with BCBS and therefore until the credentialing process is complete, this group is not participating in ANY of the products.

2-The Psych MDs are participating in the BCBS PPO product only through this direct agreement. BCBS subcontracts Behavioral Health Services to Magellan for their POS and HMO products. CVMC and the Psych department participate with Magellan and will therefore continue to see the BCBS POS and HMO members through the Magellan agreement.                                                                                                     

Southcare Contract Update
WellPath Update                                                                                                     
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