Originally, negotiations between the two organizations hit a snag over Medicare Advantage plans, but now any UnitedHealthcare customer with a Medicaid plan or employer-sponsored plan would also be out-of-network for BayCare facilities when the contract ends, according to the report.
The current contract between BayCare and UnitedHealthcare expires Nov. 26. However, spokespeople from both organizations have said they have guidelines in place to try and continue in-network benefits for those who may qualify.
BayCare officials said it is owed $11 million in unpaid claims from UnitedHealthcare, while health insurer spokespeople said BayCare is trying to “win unreasonable rates,” according to the report.
More Articles on Hospitals and Health Insurers:
Major Companies to Hospitals, Health Insurers: “Give Us Your Price Data”
Hartford HealthCare, United Reach New Multi-Year Contract
Partners HealthCare Agrees to Take on Risk in Contract With Harvard Pilgrim
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.