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LPSS reports progress on network disruption after switch to Meritain/Aetna and Verity; 86-provider disruption list being negotiated
Summary
Tony Murray of Gallagher and outside consultants updated the Lafayette Parish School System board on efforts to reduce coverage disruptions after the district’s switch from Blue Cross to Meritain (Aetna) with a Verity network wrap, saying teams are working an initial list of roughly 86 providers and have executed multiple agreements including a direct contract with Acadian Ambulance.
Tony Murray of Gallagher presented the district's monthly benefits monitoring and introduced later speakers who briefed the board on provider disruptions resulting from the district's move from Blue Cross to Meritain (Aetna) with a Verity network wrap.
Kelly Cox, the independent consultant leading outreach, said the project began with 86 providers on a disruption list — 4 later identified as closed or retired, leaving about 82 — who were in Blue Cross but not in Aetna or Verity. Cox described a three-tiered approach: direct contracting with providers willing to negotiate a standalone agreement; network contracting through Verity or Aetna; and targeted outreach where providers might decline participation. "When we first started to tackle this project, there were 86 providers on the list who were contracted with Blue Cross but were with neither Aetna or Verity," Cox said.
Alex Grama, vice president of business development for Verity,…
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