10 hospitals sue over cut payments

By NEMS Daily Journal

JACKSON – Gilmore Regional Medical Center in Amory is one of 10 Mississippi hospitals to file a $13 million lawsuit over reduced payments.
The lawsuit accuses Blue Cross Blue Shield of Mississippi of wrongfully reducing inpatient payments it was obligated to make for medical services rendered to patients.
Filed in Hinds County, the suit claims Blue Cross Blue Shield of Mississippi breached its contracts with the hospitals and acted in bad faith by slipping payment changes into its so-called Policy Manual instead of attempting to negotiate.
The lawsuit seeks to recover alleged underpayments plus declaratory relief preventing the insurance company from unilaterally changing the terms of its contracts with hospitals.
Other hospitals suing are Central Mississippi Medical Center in Jackson, Biloxi Regional Medical Center, Crossgates River Oaks Hospital in Brandon, Madison River Oaks Medical Center in Canton, Natchez Community Hospital, Northwest Mississippi Regional Medical Center in Clarksdale, River Oaks Hospital in Flowood, Tri-Lakes Medical Center in Batesville and Woman’s Hospital in Flowood.