Serving Our Members in 2019

A Message from Our President

Jun. 27, 2018

No matter how you get health coverage – through an employer, the individual market, or a government program – we will continue to work with the entire health care system on programs to make health care more affordable.

Health care continues to cost more, so insurance and out-of-pocket costs are rising for nearly everyone. Many people in Texas struggle to pay for their health insurance, and unfortunately more than 4 million in our state had little choice but to go without it last year.

These costs have a larger impact on people who buy coverage in the individual market, especially if they don't qualify for federal assistance. That's because the individual market is still changing. Changes in government regulations – the rules by which we must operate – make it difficult to price our products.

It's important that we find the right balance of consumer affordability and market certainty so premiums don't vary a great deal from year to year.

While others sit on the sidelines or offer few options, we remain committed to expanding access to broad coverage regardless of health status because it's the right thing to do.

This year, Blue Cross and Blue Shield of Texas is proud to remain in the individual market with options in all 254 counties. For our 2019 plans, we continue to do everything possible to make access to care more affordable. But, we know health coverage will remain out of reach for many.

That's why we are committed to making care and coverage more affordable for all by addressing the root causes of excessive and unnecessary costs in our health care system through our Affordability Cures Learn more about third-party links endeavor.

We're making significant strides with efforts aimed at improving affordability of care for our members. For example, we recently announced an in-depth, multi-step review process for out-of-network emergency room claims for our HMO members. The process will help us curb inappropriate billing, upcoding and fraud, waste and abuse in the ER.

We're addressing the opioid crisis, including helping members safely dispose of unused or unwanted medication through our partnership with the Walgreens Safe Medication Disposal Program. Hunger and food insecurity remain an issue in Texas, which is why we've worked with community partners to distribute more than 1.3 million pounds of food last year. And we plan to expand our contributions across the state in 2018. We're also seeing positive results with our Healthy Kids, Healthy Families® programs targeting two costly conditions, Chronic Obstructive Pulmonary Disease and Chronic Kidney Disease, greatly impacting the life span, productivity and quality of life of Texans.

We know health care coverage means more than just "having insurance." That's why we're committed to investing in solutions that will lead to a long-term and affordable path for your health.

Thank you for trusting us with your health care coverage needs.

Dr. Dan McCoy
President, Blue Cross and Blue Shield of Texas

Recent Updates

CMS Resumes Risk Adjustment Payments

Aug. 6, 2018

BCBSTX is pleased the Centers for Medicare and Medicaid Services (CMS) announced it will resume risk adjustment payments to health insurers. These transfers between insurance carriers are designed to keep costs down and make sure all consumers regardless of health status have access to health insurance and receive the care they need.

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