At one point, the communication between the two CEOs appeared to break down and Piedmont issued a press release announcing that they were "unable to reach a contract agreement Blue Cross Blue Shield of Georgia."

On July 1, contracts allowing Piedmont to care for patients covered by Blue Cross insurance expired as negotiations between the two parties reached a stalemate over rates Piedmont is paid for providing health care to Blue Cross Blue Shield members. As a result, some patients and Blue Cross members have had to switch medical providers or pay out-of-network rates.

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