Here are four things to know about the parties’ impasse.
1. If Augusta Health and Anthem fail to negotiate a new contract, Anthem policyholders will no longer be able to access Augusta Health’s hospital and Augusta Medical Group physicians at in-network rates after Dec. 31, 2017, and Jan. 31, 2018, respectively.
2. State Sen. Emmett Hanger, R-Mount Solon, told NewsLeader more oversight from the Virginia Bureau of Insurance should be considered in disruptive payer-provider disputes, such as forced mediation.
3. Another state regulator said implementing a “framework” to address contract impasses between payers and providers should be considered.
4. Augusta Health and Anthem are still attempting to negotiate a new contract, according to the report.
More articles on payer issues:
Sen. Claire McCaskill asks Anthem for internal documents about restrictive ER policy
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