Tag

Out Of Network

All articles tagged with #out of network

healthcare1 year ago

"UnitedHealthcare-Mount Sinai Dispute Sparks Doctor Switch for Thousands"

Stalled contract negotiations between UnitedHealthcare and Mount Sinai Health System have led to Mount Sinai's hospitals and affiliated doctors being out of network for patients insured by UnitedHealthcare or Oxford, affecting about 80,000 patients. The dispute over pay rates has forced many New Yorkers to find new doctors or risk paying out-of-network prices, particularly impacting pregnant patients and those receiving cancer care. Mount Sinai sought significantly higher prices, but UnitedHealthcare refused, leading to the impending removal of Mount Sinai affiliated doctors from the network starting March 22.

healthcare2 years ago

UNC Health, WakeMed, and Cigna: Potential Out-of-Network Crisis Looms

UNC Health and UnitedHealthcare are currently in a contract dispute, and if an agreement is not reached by April 1, over 200,000 UnitedHealthcare members could lose in-network coverage at UNC Health locations, resulting in increased costs for patients. UNC Health has advised affected patients to consider other health insurers that will remain in network with them. In a separate dispute, WakeMed and Cigna are also at odds, with WakeMed informing patients that they will no longer accept Cigna as an insurance provider starting January 1.

healthcare2 years ago

Stalemate: Mercy Health and Anthem Fail to Reach Agreement

Mercy Health and Anthem Ohio Managed Medicaid insurance have reached a stalemate in their negotiations, resulting in Mercy Health providers and facilities being considered out-of-network for patients with Anthem insurance as of July 1. Emergency treatment will still be accessible at Mercy Health hospitals, and the transition for Anthem Managed Medicaid patients will be facilitated until July 31.

healthcare2 years ago

Insurance Battle Puts Mercy Health Patients at Risk

Mercy Health providers and facilities are now considered out of network for patients with Anthem Blue Cross Blue Shield Medicaid insurance after failed negotiations. The change took effect on July 1, but Mercy Health will continue to serve Anthem patients in Ohio until July 31. Patients are encouraged to initiate a transfer to an alternative managed Medicaid plan to ensure long-term access to Mercy Health facilities and providers. Mercy Health remains contracted with all other Managed Medicaid plans in Ohio and will continue to serve patients under new health plans.