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80K people lose access to in-network healthcare benefits after WellStar, United fail to renegotiate contract | News – Atlanta, Georgia

Atlanta, Georgia 2021-10-04 07:45:00 –

Atlanta (CBS46)-Ten thousand Georgians no longer have access to the benefits within the WellStar Health System network.

This happens after WellStar and United Healthcare fail to renegotiate the terms of the new contract.

The deadline for both parties to reach an agreement was Sunday. Currently, the contract has expired and an estimated 80,000 people have been involved in a bonfire.

According to United Healthcare, WellStar is demanding a double-digit price increase, which could increase medical costs by more than $ 75 million.

Wellstar argues that UnitedHealth care prioritizes profits over patients and does not pay a fair share of medical costs.

WellStar sent this statement to CBS46 on Sunday afternoon.

For several years, the Wellstar Health System has been working on renegotiating major commercial contracts with United Healthcare. Unfortunately, United Healthcare has tolerated the failure of current contract negotiations, making thousands of Georgia patients inaccessible to major in-network care and services from Wellstar hospitals and doctors. We are disappointed and disappointed with this development. Our top priority is patient health and well-being, and fairness from United Healthcare to enable patients to maintain access within a major network of local Wellstar doctors, hospitals, and trusted services. We continue to seek agreement. .. We look forward to quickly reaching a new agreement that prioritizes patient care.

They also said, “But tentatively, Wellstar has taken some steps to minimize confusion to patients while the contract has expired.

  • Wellstar has explicitly agreed in writing with United Healthcare to access Wellstar’s physicians and hospitals through its existing contract with MultiPlan for the care provided to commercial members of United Healthcare. (This process gives United Healthcare access to Wellstar’s doctor and hospital contract fees on behalf of Georgia patients. If they choose to do so.) United Healthcare provides Georgia patients with this. It is advisable to have access to secondary commercial contracts so that the patient’s medical care is not interrupted.
  • Wellstar was able to negotiate an extension of United Healthcare Medicare Advantage. This means that the Medicare Advantage Plan and the State Health Benefit Plan Retired Medicare Advantage Plan contract has been extended until December 31, 2021. It is also important to note that the AARP Medicare Supplemental Plan with United Healthcare is not. It is affected by the expiration of the contract. “

United Healthcare sent this statement to CBS46 today.

Wellstar’s hospitals are already the most expensive in Atlanta, but Wellstar has demanded a significant 37% increase over three years and refused to increase medical costs by more than $ 109 million. This is neither sustainable nor affordable for the people and employers we serve. Unfortunately, Wellstar ended the contract it had just renewed in the summer of 2020, but its top priority at the moment is to give members access to the care they need, one of more than 30 hospitals and about 12,000. To support members when moving to a hospital. Doctors participating in a network of Atlanta and the surrounding area.

Wellstar states on its website that UnitedHealth Care insureds have access to Wellstar’s doctor and hospital contract fees.

Wellstar can ask UHC insured patients to “check if they can continue to access the Wellstar provider through a multiplan contract, contact the provider at a later date, or discuss other options. I advise you to check if.

Click for regular updates and new information from United Healthcare. here..

Click for the latest information from WellStar Health Systems. here..

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80K people lose access to in-network healthcare benefits after WellStar, United fail to renegotiate contract | News Source link 80K people lose access to in-network healthcare benefits after WellStar, United fail to renegotiate contract | News

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