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08/30/2025

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08/30/2025
LAWIN.news

UT Southwestern, Texas Health Resources’ contract with Blue Cross Blue Shield at risk

by LAWIN.news February 5, 2025
written by LAWIN.news February 5, 2025
Photo credit: Smiley N. Pool / The Dallas Morning News
148

Negotiations between Blue Cross Blue Shield (BCBS) and two major healthcare providers, UT Southwestern Medical Center and Texas Health Resources, are in progress as both parties seek to finalize terms and reimbursement rates.

If an agreement is not reached by the end of the year, UT Southwestern and Texas Health Resources could be out of network for BCBS members, potentially resulting in higher costs or loss of access to these facilities for some Texans.

This issue is particularly significant for BCBS policyholders in the Dallas area, many of whom depend on these healthcare providers for ongoing or specialized care.

Without an agreement, affected patients may need to switch providers or face increased out-of-pocket expenses.

A similar dispute occurred in 2022, but a resolution was reached that allowed UT Southwestern and Texas Health Resources to remain in-network.

Representatives from both healthcare providers have expressed their desire to continue serving BCBS members.

UT Southwestern highlighted its focus on patient care and accessibility, while Texas Health Resources emphasized the importance of fair reimbursement rates.

BCBS has not disclosed specific details of the negotiations but reaffirmed its commitment to managing healthcare costs and ensuring access to necessary services.

The outcome of these negotiations could have a significant impact on the healthcare landscape in Dallas and the broader Texas region.

Local health advocacy groups are monitoring the situation and providing guidance to individuals who may be affected.

The resolution of the negotiations will determine whether patients continue to have in-network access to these healthcare providers.

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