Roughly 9,000 UnitedHealth patients between ECHN’s two hospitals will have to go to other healthcare facilities or face higher out-of-network prices, the report said. However, in-network rates will still cover emergency care, post-surgical follow-ups and births in which the mother is in her third trimester and has previously used the hospitals.
ECHN, which recently renewed its contract with Aetna, said it hasn’t received a reimbursement rate increase from UnitedHealth since 2003, according to the report. However, UnitedHealth, which includes UnitedHealthcare and Oxford Health Plans, said ECHN is requesting a 250 percent rate increase for many services.
Related Articles on Hospital-Payor Negotiations:
Stanford Hospital & Clinics to Honor In-Network Rates as Negotiations With Anthem Blue Cross Remain Stagnant
Beaumont Health System Plans to Stop Accepting Insurance From BCBS HMO
Arkansas’ Baxter Regional, UnitedHealthcare Locked in Negotiation Stalemate
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit
