We are committed to ensuring our valued Dallas Fort-Worth patients have access to emergency services and information to make informed decisions.

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What is happening between Texas Medicine Resources and BCBSTX?

Texas Medicine Resources partners with hospital systems to provide physician and clinician services in Dallas-Fort Worth emergency departments. Texas Medicine Resources is working to reach a new, fair agreement with Blue Cross Blue Shield of Texas (BCBSTX).

Effective April 15, 2019, patients who have BCBSTX insurance and see a Texas Medicine Resources physician will be considered out-of-network by BCBSTX. Texas Medicine Resources clinicians will continue providing life-saving care to all patients in need and WILL NOT balance bill patients for the care we provide at THR and Hunt Regional Healthcare emergency departments.

How did Texas Medicine Resources and BCBSTX get into this situation?

Texas Medicine Resources physicians and clinicians have not received a rate increase from BCBSTX in 10 years and are being paid half of the commercially insured market average in the Dallas-Fort Worth region and half of what other emergency care providers are paid in Dallas-Fort Worth. This will prevent Texas Medicine Resources from retaining and recruiting top emergency clinicians that patients rely on for care. Texas Medicine Resources’ goal in working with BCBSTX is to secure a rate for services that allows physicians and other clinicians to continue providing life-saving care to the Dallas-Fort Worth area today and in the future.

When will patients and employers insured through BCBSTX be out-of-network with Texas Medicine Resources emergency physicians and clinicians?

Texas Medicine Resources’ emergency services contract with BCBSTX ends on April 15, 2019.

If Texas Medicine Resources goes out-of-network with BCBSTX and I visit an ER staffed by a Texas Medicine Resources physician, will my bill increase?

No. Texas Medicine Resource’s issue is with BCBSTX for unfair reimbursement, not with the patients and families we serve. We believe all patients should have access to essential emergency services. As a result, we will not balance bill patients who come to one of the emergency departments we staff.

Which area hospitals work with Texas Medicine Resources physicians?

The following facilities work with Texas Medicine Resources to provide emergency physician and clinician services:

Texas Health Resources Hospitals:
• Texas Health Arlington Memorial
• Texas Health Harris Methodist Hospital Alliance
• Texas Health Harris Methodist Hospital Azle
• Texas Health Harris Methodist Hospital Cleburne
• Texas Health Harris Methodist Hospital Fort Worth
• Texas Health Harris Methodist Hospital Southwest Fort Worth
• Texas Health Harris Methodist Hospital Stephenville
• Texas Health Harris Methodist Hurst-Euless-Bedford
• Texas Health Presbyterian Hospital Allen
• Texas Health Presbyterian Hospital Dallas
• Texas Health Presbyterian Hospital Kaufman
• Texas Health Presbyterian Hospital Allen
• Texas Health Presbyterian Hospital of Denton
• Texas Health Presbyterian Hospital Plano
• Texas Health Outpatient Center Willow Park
• Texas Health Harris Methodist Outpatient Center Burleson
• Texas Health Neighborhood Care & Wellness Prosper
• Texas Health Presbyterian Hospital of Rockwall
• Texas Health Presbyterian Hospital of North Rockwall

Hunt Regional Healthcare

What happens if no agreement is reached?

Texas Medicine Resources believes no one should avoid life-saving care simply because they’re out-of-network and will do everything it can to minimize the impact of this to patients. TMR will continue to see and treat patients insured through BCBSTX.

Is this just about money?

Patients are paying BCBSTX good money for their health insurance with the expectation that BCBSTX will negotiate with caregivers like Texas Medicine Resources to ensure access to vital services. Today, patients are paying their monthly insurance premiums, but BCBSTX is not ensuring patients have in-network access to vital care.

Texas Medicine Resources physicians and clinicians have not received a rate increase from BCBSTX in 10 years and are being paid half of the commercially insured market average in the Dallas-Fort Worth region and half of what other emergency care providers are paid in Dallas-Fort Worth. Texas Medicine Resources is asking to be paid the Dallas-Fort Worth commercially insured market average for emergency services. Unfortunately, BCBSTX has been unwilling to work towards a fair agreement.

Texas Medicine Resources’ goal in working with BCBSTX is to secure a rate for services that allows physicians and other clinicians to continue providing life-saving care to the Dallas-Fort Worth area.

If Texas Medicine Resources goes out-of-network with BCBSTX, will patients still be able to receive emergency care at impacted facilities?

Yes. All impacted facilities will continue to provide the highest-quality, 24/7/365 emergency care.

I have BCBSTX as my health insurance. How can I take action?

Tell BCBSTX to protect patients and work with Texas Medicine Resources by tweeting or calling BCBSTX today at 972-766-6900.