AM I NEXT? IS THE HANDWRITING ON THE WALL AT CAMBIA & BLUE CROSS/BLUE SHIELD NORTH CAROLINA?

Am I Next? Cambia and Blue Cross/Blue Shield of North Carolina Affiliate

Portland, Oregon-based Cambia Health Solutions, the parent of Regence, a member of the Blue Cross Blue Shield Association, and Durham, North Carolina-based Blue Cross and Blue Shield of North Carolina have announced that the are creating a “strategic affiliation” that will allow for nationwide coverage.

According to their press release, “Cambia and Blue Cross NC will enter into a long-term management services agreement, adopting best-in-class services from both companies. Specifically, the companies have agreed to share management, administrative, operational, and other corporate services, under the Cambia Health Solutions name.” According to Dr. Patrick Conway who will serve as the CEO of the new affiliation, “By sharing resources, innovations, and best-in-class services we can fundamentally transform the way individuals and families experience the health care system.

Am I Next? Combined Structure; Cambia + Blue Cross/Blue Shield North Carolina

“Cambia’s Board of Directors will be made up of 10 members from Blue Cross NC’s current Board of Trustees and nine members from Cambia’s current Board of Directors. Blue Cross NC will retain its own separate Board of Trustees and name. Blue Cross NC and Cambia will retain their separate, tax-paying, not-for-profit corporate structures.” The combined entity will have six million enrollees and an estimated $16 billion in annual revenues.

Unfortunately, this type of long-term management where the combined entities operate under a common management team and share key management, administrative, operational, and other corporate services often results in some degree of restructuring involving employee layoffs to eliminate duplicative functions and redundant employees.

Change is coming. There will always be a tomorrow, no matter how much you may try to ignore it. There are no guarantees in life, or promises for a bright future. Just because something bad hasn't happened yet, doesn't mean it won't. It can happen to anyone, anytime, anywhere ... are you now wondering, Am I Next?

AM I NEXT? NO LOVE AT PGBS - BLUE CROSS BLUE SHIELD

Am I Next? Layoffs at PGBA - Blue Cross Blue Shield.

PGBA, a Celerian Group Company and a subsidiary of Blue Cross Blue Shield of South Carolina, who provides high-volume claims processing, contact center operations, and contract performance services for government and private healthcare payers will be laying off 244 employees associated with servicing the Veterans Administration Choice program for Blue Cross Blue Shied of South Carolina.. The decision was driven by the loss of their Veterans Administration Choice contact and will affect employees at the Florence and Surfside Beach offices. The layoffs come as no surprise for the employees who were notified in August 2018 of the impending reduction-in-force.

At the time of the August announcement, President and Chief Operating Officer of PGBA Mick Skarupa noted, “This action is difficult, but we remain committed to keeping everyone informed on all key developments. While disappointing, scaling workforce to workload is a well-known challenge in providing contractual services for the federal government.”

It can happen to anyone, anytime, anywhere ... are you wondering, Am I Next?