Augusta Health goes out of network with Anthem

Fishersville, Va.-based Augusta Health's in-network contract with Anthem expired Dec. 31, according to NBC 29.

As a result, Anthem policyholders may pay out-of-network prices to access Augusta Health facilities. If a resolution is not reached by Jan. 31, Augusta Health physicians will also be considered out-of-network for Anthem members.

Emergency care and Medicare patients are not affected by the contract dissolution.

Augusta Health first notified Anthem it planned to terminate their contract in early October. While the two sides made some headway on smaller agreement terms since then, "a couple of big issues" persisted, Augusta Health Vice President and CFO John Katsianis told the News Leader in December. At the time, the parties' rate negotiations were still "double digits" apart.

More articles on payer issues:
Viewpoint: Walgreens won't buy an insurer this year
Anthem to cut pay for some same-day services by 25%: 4 things to know
Virginia lawmakers consider legislative fix for Augusta Health-Anthem contract dispute: 4 things to know

© Copyright ASC COMMUNICATIONS 2018. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.


Top 40 Articles from the Past 6 Months