Is this a potential balance billing situation in the making.  We know that situation well in California.  BD 

NEWARK, N.J. - New Jersey's biggest health insurance company has told two Philadelphia hospitals that it will not renew their contracts. Horizon Blue Cross-Blue Shield says its subscribers will be charged out-of-network fees for using Children's Hospital of Philadelphia or the Hospital of the University of Pennsylvania starting next spring.

The insurer, which is trying to become for-profit, says the payments to the Philadelphia hospitals are too high. Some 28,000 people insured by Horizon use the two facilities.

NJ's largest insurer drops 2 Philly hospitals -- Newsday.com

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