Mulebriar Announces 2015 Award for Comment Excellence

fox

Risk Manager:  “Excuse me Mr. Fox, there are some hens missing”.  “Can you  check the security cameras to see what happened?”

BCBS:  “Sorry, the images on those cameras are proprietary”.  “But here is a letter stating we didn’t steal any hens.”

mulebriar

Earlier this week this blog posted an article pertaining to a large Texas school district who uses Blue Cross as their TPA, to administer both the BCBS PPO network in tandem with the district’s own directly contracted network:

McAllen ISD Enters Into Direct Contracts in Addition To BCBS Network

We received the following comment from one of our three readers just in time to be considered in the annual Molly Mulebriar Award for Comment Excellence sweepstakes.

This afternoon our staff received notice from MollyMulebriar.org the comment has earned the Annual 2015 Molly Mulebriar Award for Comment Excellence:

FROM RISK MANAGER OF LARGE TEXAS SCHOOL DISTRICT

“Using BCBS to administer direct contracts is like hiring a fox to guard your henhouse.  How will you ever know if you contracts are up to par?  Simple, never. It is well known throughout the industry that BCBS provider agreements usually include a favored nation’s clause, or at least they did.  Who knows now since they are out of the TRS and ERS business.  It makes sense for BCBS to administer direct contracts though.  I mean, they can still charge their ridiculously high ASO and PPO access fees and fool everyone into thinking they’re getting a great deal.”

Risk Manager:  “Excuse me Mr. Fox, there are some hens missing”.  “Can you  check the security cameras to see what happened?”

BCBS:  “Sorry, the images on those cameras are proprietary”.  “But here is a letter stating we didn’t steal any hens.”