Mississippi News
Blue Cross: Dispute forces man in need of transplant toward Texas
This Mississippian needs a new liver. The state’s only transplant hospital can’t give it to him.
Caden LeMieux is lying in a bed at Hermann Memorial Hospital in Houston, Texas, more than 500 miles away from his home, his mother and the majority of his friends and family in Neshoba County.
He’s 450 miles from the doctors and nurses at the University of Mississippi Medical Center he’s been seeing for more than a year for primary sclerosing cholangitis, a serious and long-term liver disease that has been treated at Mississippi’s only organ transplant center.
The 28-year-old was admitted to UMMC July 7 following excruciating stomach pain and high levels of bilirubin, which caused his skin and eyes to turn yellow. LeMieux, who is 6’2, usually weighs somewhere in the 130-pound range, but weight kept coming off.
He was told he was in active liver failure and needed a transplant imminently. But UMMC couldn’t do it, his doctor said. The reason: the hospital’s ongoing contract dispute with Blue Cross & Blue Shield of Mississippi, which left the state’s largest hospital out of network with its largest private insurer since April 1.
While the two parties are currently in mediation, there is no resolution in sight.
“They (the UMMC doctors and nurses) tried their best to find a loophole around it … the best they could,” said LeMieux, who has Blue Cross through his stepmother’s Texas plan. “They couldn’t come up with anything.”
LeMieux’s mother Cristi Montgomery described the difficulty of that moment.
“I tell you, they were teary-eyed because they knew it wasn’t fair,” Montgomery said of the doctors and nurses who’d been taking care of LeMieux at UMMC.
“I really didn’t want to leave (UMMC),” LeMieux said on Monday, a day after undergoing a procedure to drain fluid from his lungs to allow him to breathe more easily. “It’s been a lot of nights I’ve gotten overwhelmed.”
Neither UMMC nor Blue Cross responded to requests for comment for this story by the time of publication.
Montgomery said the dispute between UMMC and Blue Cross has forced her son out of his comfort zone in a trying time.
“You’re having to meet people that you’re not comfortable with, establish new relationships — we ain’t got time for that. We’re sick enough, don’t take us out of our comfort zone,” said Montgomery.
UMMC and Blue Cross are butting heads over reimbursement rates and the insurance company’s quality care plan. UMMC, the state’s only academic medical center and safety net hospital, is asking Blue Cross for substantial increases in its reimbursement rates. Blue Cross officials say this is unreasonable and would necessitate an increase in members’ premiums.
Mississippi Insurance Commissioner Mike Chaney has issued calls for the two parties to come to an agreement to no avail. He recently informed Blue Cross his department will be conducting a target market conduct examination of the insurer to determine whether it is compliant with the state’s network adequacy regulations, which require insurers to provide adequate in-network care to customers.
LeMieux made the nine-hour drive to Houston just over a week ago. His mother drove him from Jackson to Baton Rouge, where his father, who lives in Houston, met them. He finished out the ride with his dad and was back in the hospital the next day.
LeMieux was fortunately still considered an active patient at Hermann Memorial Hospital after living there with his father several years ago. His family thought he would only be in the Houston hospital temporarily and then return to his father’s house to wait for a liver to become available. Doctors have since decided he’s too sick to leave, and he will have to stay in the hospital until his transplant.
Until then, he and his loved ones play a waiting game. He will have to spend an additional 10 days in the hospital after receiving the transplant — assuming there are no complications — and then will have to remain in the Houston area for at least a year. His transplant follow-up care will include twice-weekly clinic visits with the goal of eventually reducing the frequency.
But LeMieux, Montgomery, and Colville LeMieux, Caden’s father, aren’t looking that far ahead yet. They’re focused on the immediate situation. They feel lucky to have the support and prayers of their community, Montgomery said.
But they can’t help but wonder.
“I asked the hospital, ‘What if his daddy hadn’t lived there? We would have to go live in Houston or go to UAB or Ochsner’s?’ Of course you want to do what’s best for your kids, but let’s be real, we own our own businesses, we don’t have any vacation time, we can’t just take off,” said Montgomery, who runs a bakery in Philadelphia with her husband.
Colville LeMieux, Caden’s father, had a similar take: “I don’t know what we would’ve done if we hadn’t had him under care here at a Houston doctor also. What is a person supposed to do?”
On Monday, Montgomery started the drive to Houston. She doesn’t know how long she’ll be there or how her bakery in Neshoba County will stay afloat in the coming weeks and months. But she does know she needs to be with her son.
“It’s easy to say, ‘Either you trust God or you don’t,’ but that’s all we have is to trust and believe and take it one day at a time. When Caden’s nine hours away and he sends you a message that says, ‘I’m scared,’ and then calls and he’s crying …” she trailed off.
“It’s just a lot. But you still do what you have to do.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi News
Death toll from catastrophic Texas flooding passes 100
SUMMARY: Catastrophic flooding in Texas over the July Fourth weekend killed at least 104 people, including 28 children, mostly near Camp Mystic, a century-old girls’ summer camp in Kerr County. Search-and-rescue teams continue to search swollen rivers for dozens still missing; officials expect the death toll to rise as more rain threatens the saturated area. Many victims were swept from cabins by flash floods early Friday, some clinging to trees. Authorities will investigate warnings and evacuation delays, noting poor cellphone service hindered alerts. Despite warnings issued before the flood, some residents didn’t receive them. President Trump plans to visit the state.
The post Death toll from catastrophic Texas flooding passes 100 appeared first on www.wjtv.com
Mississippi News
LIVE: Officials give updates on Texas floods
SUMMARY: Crews in central Texas continue searching for victims after catastrophic July Fourth weekend flooding killed over 80 people, including 27 campers and counselors at Camp Mystic along the Guadalupe River. The floods, some of the worst in decades, struck overnight, sweeping away tents and cabins. With more rain forecast, authorities warn the death toll may rise as many remain missing. Survivors described clinging to trees or fleeing to attics. Officials face scrutiny over flood warnings and emergency response. President Trump declared Kerr County a disaster area, pledging support while criticizing FEMA’s performance.
The post LIVE: Officials give updates on Texas floods appeared first on www.wjtv.com
Mississippi News
Texas floods: At least 51 dead, 27 girls still missing as search efforts continue
SUMMARY: A devastating flash flood struck a summer camp along Texas’ Guadalupe River, killing at least 51 people, including 15 children, with many missing, mainly from Camp Mystic. The floodwaters surged 26 feet in 45 minutes early Friday, washing away homes and vehicles. Rescue teams face challenging terrain, using helicopters, boats, and drones to search for survivors amid debris and broken trees. Authorities are scrutinized for potential warning and preparation failures. Gov. Greg Abbott declared a day of prayer, while rescue and recovery efforts continue amid fears of additional flooding. The Hill Country’s flood-prone terrain and unexpected downpour overwhelmed campers and residents, prompting widespread grief and appeals for support.
The post Texas floods: At least 51 dead, 27 girls still missing as search efforts continue appeared first on www.wjtv.com
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