Catholic Health and Highmark BCBSWNY announce long-term contract agreement
Wednesday, December 28, 2022
Catholic Health and Highmark BCBSWNY announce long-term contract agreement
Buffalo, N.Y. (December 28, 2022) – Highmark BCBSWNY, Catholic Health, and Catholic Medical Partners today announced a new long-term contract agreement. This will ensure Highmark BCBSWNY members will have continued access to care at Catholic Health hospitals and its comprehensive network of services.
“As the quality and patient safety leader in Western New York, it’s great news that Highmark BCBSWNY members can continue to receive in-network care at Catholic Health,” said health system President & CEO Mark Sullivan. “We want to thank Highmark for recognizing the important role we play in the lives of families across the region and for reinvesting in the health and wellness of our community.”
While the details will be finalized in the coming weeks, the long-term agreement will benefit the Western New York community by supporting Catholic Health programs, services, and caregivers, and creating joint value-based objectives for the health plan and hospital system to improve health outcomes and manage rising health care costs.
“For over 80 years, Highmark BCBSWNY has offered Western New Yorkers access to the broadest network of high-quality health care providers,” said Dr. Michael Edbauer, President, Highmark BCBSWNY. “We understand the value Catholic Health delivers to our community and that’s why we’re pleased to reach a long-term agreement to keep their hospitals in our network.”
As one of the largest health systems in Western New York, Catholic Health serves thousands of patients across its network of hospitals, subacute care facilities, primary care centers, home care agencies, and diagnostic & treatment centers. Its hospital network includes Kenmore Mercy Hospital, Mercy Hospital of Buffalo, Mount St. Mary’s Hospital, and Sisters of Charity Hospital and its St. Joseph Campus.
As the region’s largest independent practice association, Catholic Medical Partners joins with Catholic Health to transform care across the region. “We are pleased to continue our longstanding relationship with Highmark BCBSWNY to meet the medical needs of our community,” said Margaret Paroski, MD, MMM, President & CEO and Chief Medical Officer of Catholic Medical Partners. “This agreement with Highmark will support the important work our physicians do to address preventative care, chronic disease management, and social determinants of health for their patients.”
Highmark Blue Cross Blue Shield of Western New York, as the region’s longest-standing and leading health plan, continues to offer the most comprehensive hospital and physician network in the region to their membership locally, as well as nationally through the Blue Cross Blue Shield “Blue Card” program.
Catholic Health facilities have received the Blue Distinction Center+ designations by the Blue Cross Blue Shield Association (BCBSA) for the following:
Sisters of Charity Hospital for Bariatric Surgery
Mercy Hospital of Buffalo for Cardiac Care
Kenmore Mercy Hospital and Sisters of Charity Hospital for Spine Surgery
These designations are given by the Blue Cross Blue Shield Association (BCBSA) to only a select number of hospitals and health systems across the country based on quality and cost criteria. In addition, Catholic Health facilities are also designated by BCBSA as Blue Distinction Centers for the following:
Kenmore Mercy Hospital, Mercy Hospital of Buffalo, Sisters of Charity Hospital, and Sisters of Charity Hospital - St Joseph Campus for Knee and Hip Replacement
Mercy Hospital of Buffalo for Maternity Care
Highmark BCBSWNY Medicare Advantage members, who chose to leave during the annual enrollment period, can rejoin the plan during Medicare’s open enrollment period, which runs from the start of January through the end of March.
Specific terms of the contract agreement were not disclosed.
About Catholic Health From delivering thousands of babies each year; to offering the area’s widest network of comprehensive cardiac, stroke, vascular, orthopedic and women’s services; to providing a broad range of home care, skilled nursing and other post-acute services, Catholic Health cares for hundreds of thousands of Western New Yorkers at dozens of locations in the Buffalo-Niagara region. As the area’s quality, safety and patient satisfaction leader, its network includes Kenmore Mercy Hospital, Mercy Hospital of Buffalo, Mount St. Mary’s Hospital, Sisters of Charity Hospital and its St. Joseph Campus; and a wide range of Home & Community Based Care services. Together, with its nearly 9,000 associates, Catholic Health is part of a healing ministry dating back more than 170 years. Today, as one of the largest providers of healthcare in Western New York, Catholic Health is continuing to transform care across the region.
About Highmark Blue Cross Blue Shield of Western New York Highmark Blue Cross Blue Shield of Western New York is a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association. Since 1936, Highmark Blue Cross Blue Shield of Western New York has helped millions of people lead healthier lives. Blue Cross Blue Shield offers a full range of insured, self-insured, and government programs and services covering businesses, families, and individuals, as well as dental and vision plans and stop-loss coverage. As a community-based, not-for-profit health plan, Highmark Blue Cross Blue Shield contributes significantly to organizations that strengthen and enrich the health of the community.
All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.
This website is operated by Highmark, Inc. and is not the Health Insurance Marketplace website. It also does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.
Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal.
®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company.
PA: Your plan may not cover all your health care expenses. Read your plan materials carefully to determine which health care services are covered. For more information, call the number on the back of your member ID card or, if not a member, call 866-459-4418.
Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield.
West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Visit our website to view the Access Plan required by the Health Benefit Plan Network Access and Adequacy Act. You may also request a copy by contacting us at the number on the back of your ID card.
Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield.
Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.
Enter your ZIP code so we can show you personalized information.