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Blue Cross’ painful new policy?

Good morning, Chicago. ✶

🔎 Below: A Chicago-area psychiatrist had his payments slashed after Blue Cross Blue Shield enacted a new “downcoding” system that doctors worry will make it more difficult for patients to get the care they need.

🗞️ Plus: Chicago police investigate a Border Patrol shooting, Illinois election officials say mail-in voting is still secure and more news you need to know.

📝 Keeping score: The Cubs fell to the Diamondbacks, 5-4; the White Sox beat the Rangers, 11-7; the Sky were defeated by the Sun, 87-81; the Fire lost to Monterrey, 2-1.

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TODAY’S TOP STORY 🔎

The psychiatrist this Chicago patient sees had his reimbursement rates cut dramatically by Blue Cross Blue Shield.

Victor Hilitski/For the Sun-Times

New Blue Cross Blue Shield policy lowers payment for therapists, pediatricians

Reporting by Elvia Malagón

‘Downcoding’ policy: As of July 1, Blue Cross Blue Shield changed the way it evaluates some medical claims that health professionals regularly submit, resulting in lower payments for the same service than in the past, according to mental health clinicians, doctors and advocates.

Providers’ concerns: In recent weeks, Derek Phillips, director of psychiatry at Arcus Behavioral Health & Wellness in Chicago, had dozens of his claims reduced by Blue Cross Blue Shield, which means both he and the practice he works for earn less for the same amount of work. The small practice likely won’t be able to tackle appealing each downcoded claim.

How patients are impacted: For some doctors, the financial cost of Blue Cross Blue Shield’s decision to downgrade claims and lower reimbursement rates may be too much to bear. And it comes when finding a therapist is already a struggle for many people. One psychiatrist said he was considering dropping Blue Cross Blue Shield entirely, which could mean some patients will have to pay out-of-pocket.

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IMMIGRATION ✶

Marimar Martinez was shot five times last year by Border Patrol agent Charles Exum.

Anthony Vazquez/Sun-Times

Elite police unit investigating Border Patrol shooting of Chicago woman

Reporting by Jon Seidel, Sophie Sherry and Tom Schuba

Police investigation: The shooting of Marimar Martinez by a Border Patrol agent last fall is now being investigated by the Chicago Police Department’s Investigative Response Team, a unit staffed with deeply experienced detectives who will look to bring a case to Cook County prosecutors.

Roadblocks remain: Any charging decision involving a felony would still fall to the office of Cook County State’s Attorney Eileen O’Neill Burke. And potential roadblocks remain if the federal government refuses to cooperate with the police investigation.

Bottom line: This is a notable step forward in the latest effort to hold federal agents accountable, nearly a year after the Trump administration’s aggressive Operation Midway Blitz deportation campaign hit Chicago. No federal agent has been charged with an on-duty crime connected to Midway Blitz.

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ELECTIONS 📫

Cook County Clerk Monica Gordon shows U.S. Rep. Raja Krishnamoorthi the Cook County Elections Processing Center in Cicero.

Manuel Martinez/WBEZ

Mail ballots are secure, Illinois election officials stress, after Supreme Court ruling

Reporting by Tina Sfondeles

Mail maligned: As courts continue to decide the fate of President Donald Trump’s executive order restricting mail-in ballots, Cook County and Illinois election officials say they’re going full speed on their preparations for early voting and vote-by-mail ballots in the November election. The prep comes amid Trump’s multipronged effort to sow doubt about mail ballots, leaving election officials to assure voters the process is secure.

Facility tour: Cook County Clerk Monica Gordon on Tuesday hosted U.S. Rep. Raja Krishnamoorthi, state Sen. Laura Murphy and voting rights leaders from ACLU Illinois, Common Cause and the League of Women Voters for a tour of Cook County’s ballot processing center in Cicero — a day after the U.S. Supreme Court paused a lower court ruling that had blocked parts of Trump’s March executive order.

Where things stand: Ten weeks before Election Day, we’ve got answers to some of voters’ outstanding questions around mail-in voting here.

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MORE NEWS YOU NEED 🗞️


PICTURE CHICAGO 📸

A makeshift memorial appears by a Dolly Parton mural in Edgewater, following news of the beloved star’s death at 80 on Tuesday.

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The Bears unveil this upcoming season’s alternate uniform during a Nike event at Halas Hall in Lake Forest on Tuesday.

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BRIGHT ONE 🔆

Natalie Merchant’s “Cabinet of Wonder” is an educational collaboration with the Chicago Children’s Theatre and Chicago Symphony Orchestra.

Courtesy of Joe Mazza

Mother Goose gets a Natalie Merchant makeover

Reporting by Kyle MacMillan

Singer-songwriter Natalie Merchant has spent years as an international star — first with the band 10,000 Maniacs and then as a solo artist. But one of her biggest musical satisfactions has nothing to do with the big-stage limelight.

Merchant’s “Cabinet of Wonder,” a digital children’s album, marks the culmination of an ongoing project she calls her “legacy.” It’s an ambitious educational collaboration with the Chicago Children’s Theatre and Chicago Symphony Orchestra that features an accompanying website with recordings, videos and teaching aids free for teachers, parents, children and anyone else.

The concept behind it all is simple. Merchant has set 14 Mother Goose nursery rhymes to music, using the familiarity and metrical patterns of the venerable texts combined with her catchy tunes to teach preschool and kindergarten-age children a love for both music and language.

“Children deserve beauty,” Merchant said, “and people who develop a sense of aesthetics at a really young age and who create beauty, make better citizens, make a better society, make a better world.”

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YOUR DAILY QUESTION ☕️

What’s the most memorable meal you’ve had at a Chicago restaurant? Tell us why.

Reply to this question via email (please include your first and last name). We may run your answer in a future newsletter or story.

Yesterday, we asked you: What’s your pro tip for taking the CTA?

Here’s some of what you said…

“During rush hour, try to move to the center of the train car or to the back of the bus. It’s a more pleasant riding experience than being bunched up by the door with 30 others.” — Shane Tolentino

“Exit the bus via the back door so new passengers entering can swipe in quickly.” — Sue Wynn

“Always look before you sit.” — Anne Goodman

“If the train is full and you see a car that has one person in it, get in the crowded car. Your nose will thank you.” — Vaughn Heifner

“For going to Cubs games, park on Addison west of Ashland, or a side street nearby, and take the 152 bus.” — Justin Rickman

“Don’t wear a backpack, briefcase, or purse on your back or shoulders so that other riders have more room.” — Craig Barner

“On the bus, be sure to thank your driver! They put up with a lot.” — Gwendolyn Howard


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Written and curated by: Matt Moore
Edited by: Michael Lansu

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