The Blue Cross and Blue Shield Association (BCBSA) announced on February 26, 2010 that all 39 independent Blue Cross and Blue Shield companies established a payment policy that prohibits reimbursement to contracted acute care hospitals for hospital acquired conditions or “never events” “ serious events or medical errors that are clearly identifiable and preventable.
The Blues policy, which went into effect on Jan. 1, 2010, include 12 preventable events as recommended by the Centers for Medicare and Medicaid Services (CMS). In addition, Blue Cross and Blue Shield companies will not reimburse for surgery performed on the wrong patient, a wrong body part or for a wrong procedure. Blue companies also will assure that acute care hospitals in Blue networks must hold the member harmless for any charges associated with never events. Click Here to read the rest of the BCBS Press Release.