Cincinnati-based Bon Secours providers and facilities in South Carolina are facing a network split with UnitedHealthcare.
If an agreement is not reached before July 1, the two organizations will be out-of-network across commercial, ACA, Medicare Advantage, and veteran plans. Some plans and facilities won’t go out of network until later in 2025 or 2026.
“What United pays our doctors, nurses and caregivers is not equitable,” Bon Secours wrote on its website. “Their current reimbursement rates are overwhelmingly inadequate to account for the cost of providing you access to safe, quality care.”
“Bon Secours St. Francis is seeking a price hike of nearly 32% over three years for our commercial plans, which would drive up health care costs by $43 million,” UnitedHealthcare wrote on its website. “Bon Secours’ proposal is not affordable or realistic for the people and employers we serve.”
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