Spartanburg (S.C.) Regional Healthcare System is slated to go out of network with Aetna commercial and Medicare Advantage plans April 15, according to the system’s website.
The health system said its misalignment with the insurer stems from their Medicare contract, specifically.
“Aetna’s latest Medicare proposal implemented a significant policy change in their Medicare agreement that deviates from long-standing practices, making it impossible for us to accept the current terms,” a Spartanburg Regional statement shared with Becker’s March 9 said. “Although we’ve made progress on the commercial contract, Aetna is now linking both agreements; if we don’t sign the revised Medicare contract, both our Medicare and commercial agreements will expire on April 15.”
Spartanburg Regional’s website addressed continuity-of-care opportunities for patients with a special condition.
Aetna confirmed ongoing negotiations leading up to the deadline.
“We continue to negotiate with Spartanburg Health System (including [the administrative entity] Regional HealthPlus) in good faith with the goal of reaching a fair agreement that keeps them in our network,” an Aetna statement shared with Becker’s March 9 said.
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.