VGM helps protect sleep contract

Thursday, March 29, 2018

WATERLOO, Iowa – The VGM Group has helped providers in Maryland, Washington, D.C., and Virginia beat back CareFirst BlueCross BlueShield’s plans to reduce the number of providers in its network that are authorized to provide CPAP equipment. The insurer planned to limit its network to a few providers after Feb. 15, 2019. When VGM heard from members about CareFirst’s decision, it filed a complaint with the Maryland Insurance Administration and after some back and forth CareFirst agreed to allow any contracted provider to continue providing sleep-related equipment at the contracted reimbursement rate, as long as they meet a set of requirements. “We want to make sure our membership community has access to as many payers as possible to provide better access for patients and their families,” said Clint Geffert, president of VGM & Associates.