Roughly 10,000 patients with UnitedHealthcare coverage, including those with Medicare Advantage plans, were affected and will no longer have access to Bon Secours physicians at discounted prices.
Bon Secours said it had been in discussions with UnitedHealthcare regarding the contract for six months. However, the medical group told GreenvilleOnline it could not accept the insurer’s reimbursement rates without “[jeopardizing BSMG’s] ability to provide the latest technology, services and high-quality care.”
UnitedHealthcare disagreed, arguing Bon Secours’ requested rates would have “raised the cost of care for individual and employer-sponsored health plans by more than seven times the average annual increase” in South Carolina, according to the report.
St. Francis facilities, including its hospitals, the St. Francis Cancer Center in Greenville and its urgent care centers, will remain in-network with UnitedHealthcare.
Bon Secours and UnitedHealthcare said they hope to resolve the impasse, according to the report.
More articles on payer issues:
Capital BlueCross hires VP of corporate responsibility
Aetna CEO: There will be markets with no coverage in 2018
CMS proposes rules to stabilize the individual marketplace for 2018
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