The health option, called the “Wisconsin Value Network,” includes the state’s largest provider, Milwaukee-based Aurora Health Care; Milwaukee-based Columbia St. Mary’s; Waukesha, Wis.-based ProHealth Care; and Green Bay, Wis.-based Bellin Health. The plan is targeted at employers with less than 1,000 workers.
Milwaukee-based Children’s Hospital of Wisconsin and Milwaukee-based Froedtert Health were left out of the network. Children’s spoke out about its exclusion, saying the plan is not for children and buyers may not receive coverage for their expenses at the facility.
Humana said if primary physicians refer patients to excluded hospitals like Children’s, patients will be in-network. The insurer also offers other plans with Children’s and Froedtert, according to the report.
Humana will begin quoting prices for the network’s plan Oct. 1 with coverage beginning Jan. 1.
More articles about payer issues:
Employer family plan premiums soar above $18k in 2016
ConnectiCare backtracks, stays in ACA exchange
10 questions to ask your boss about your health plan
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
