September 22, 2009
Mr. Stephen A. Williams
President and CEO
Norton Healthcare, Inc.
234 E. Gray Street
Louisville, KY 40202
In response to your latest letter, dated September 18, 2009, I am very disappointed, but not entirely surprised by your statement that, beginning in January, Norton intends to balance bill Anthem members utilizing Kosair Children's Hospital up to your current billed charges.? Leveraging the parents and children of this community is unthinkable, and we will continue to take necessary steps to keep them out of the middle of this dispute.
However, the real solution for our community is to end this dispute.? Therefore, I propose to you the following resolution, and trust you will give it serious consideration.
Norton facilities and doctors will rejoin the Anthem network on October 1 st, at the reimbursement rates we negotiated and to which we agreed in good faith.? This is the level of medical expense our members have anticipated and the level their employers have set aside to find their health plans.? The acceptance of this offer by October 1st is crucial, since after that date the full economies of the current, smaller network will be reflected in premium rate and cost estimates to our groups.
To resolve your charges of administrative problems, Anthem and Norton will jointly retain a third party auditor to review any outstanding claims issues and follow up with corrective action if warranted.
Due to assertions that our transparency tool, anthem Care Comparison does not accurately reflect your costs to Anthem members in comparison to your competitors, Anthem and Norton will agree to accept the offer of the Kentucky CPA Society to do a thorough audit of the tool and provide a report on the accuracy of the data provided.
Steve, it is time this dispute is settled for the good of our community.? Please know that we are willing to sit down face-to-face to further discuss our proposal.? I look forward to your positive response.
Anthem Blue Cross Blue Shield, Kentucky