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Prisma Health计划与UnitedHealthcare脱离网络

Prisma Health plans to go out of network with UnitedHealthcare

Becker's ASC Review 等信源发布 2023-11-03 16:27

可切换为仅中文


In August, Greenville, S.C.-based Prisma Health warned its patients that starting Jan. 1, the health system might be out of network with UnitedHealthcare. Now, as the negotiation deadline looms, it seems more and more likely, according to a Nov. 3 report from NBC affiliate WYFF. While the two entities are still in contract negotiations, on Nov.

8月,位于S.C.的Greenville Prisma Health警告其患者,从1月1日开始,卫生系统可能与UnitedHealthcare失去联系。根据NBC附属WYFF 11月3日的报告,随着谈判截止日期的临近,似乎越来越有可能。虽然这两个实体仍在进行合同谈判,但在11月11日。

2, Prisma sent a letter to WYFF stating, 'As it stands today, Prisma Health will be out of network with all UnitedHealthcare insurance plans on Jan. 1, 2024. We have been attempting in good faith to negotiate agreements with UnitedHealthcare that reimburse us for the increased costs for medical care we are providing to patients covered under their insurance products.

2,Prisma给WYFF发了一封信,“就目前而言,Prisma Health将于2024年1月1日与所有联合医疗保险计划脱节。我们一直在努力与UnitedHealthcare谈判协议,向我们报销我们为保险产品涵盖的患者提供的医疗保健费用增加。

Although those discussions are continuing, there has been no meaningful progress as of today.'The system emphasized that it will remain at the negotiating table until the final hour 'in the event UnitedHealthcare wants to discuss a fair agreement.' 'Unfortunately, Prisma Health continues to repeat its demands for a more than 20% price hike over the next 15 months for our employer-sponsored commercial plans, which is not realistic, affordable or sustainable for South Carolinians and employers.

虽然这些讨论仍在继续,但截至今天还没有取得有意义的进展该系统强调,它将留在谈判桌上,直到最后一个小时“在事件联合医疗保健希望讨论一个公平的协议”“不幸的是,Prisma Health继续重复要求在未来15个月内为我们的雇主赞助的商业计划加价超过20%,这对于南卡罗来纳州人和雇主来说是不现实,负担得起或可持续的。

Agreeing to Prisma's proposal would increase health care costs by more than $60 million, significantly driving up premiums and out-of-pocket costs for the people we serve as well as the cost of doing business for employers,' UHC wrote in an Oct. 13 statement on the payer's website. Meanwhile, Prisma Health is attempting to get a restraining order against UnitedHealthcare, alleging the payer has revealed confidential contract negotiations to the public. .

同意Prisma的建议将使医疗保健费用增加6000多万美元,大大提高了我们所服务人员的保费和自付费用以及雇主的业务费用,“UHC在10月在付款人网站上发表声明。与此同时,Prisma Health正试图获得针对UnitedHealthcare的限制令,声称付款人向公众透露了保密的合同谈判。 .