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Second Insurer Protests IL HMO Switch

 

A second insurer is now protesting a state decision to hire a new HMO with a limited downstate network of doctors to provide health plans for tens of thousands of state employees and retirees.

Humana has joined Urbana-based Health Alliance in protesting the state's decision to contract with Blue Cross and Blue Shield of Illinois.

Chief State Procurement Officer Matt Brown told the News-Gazette in Champaign that reviewing the protests could take weeks. That could delay the scheduled May 1 start of enrollment for the new Blue Cross HMO plans.

The state says Blue Cross will save it money. But Humana and Health Alliance argue that many of the more than 100,000 people in their plans would have to travel to see primary care doctors or else pay higher rates by using preferred provider or open access plans.