Editor's Note: Under a new multi-year agreement, physicians of Baptist Health Medical Group will be in-network for Humana's Medicare Advantage members and commercial group accounts beginning April 1, 2024.
Louisville, Ky.-based Baptist Health has been out of network with UnitedHealthcare and Centene's WellCare Medicare Advantage plans since Jan. 1.
The health system's medical group previously went out of network with Humana's Medicare Advantage and commercial health plans in September. Baptist cited routinely denied or delayed prior authorization requests or payments from the insurers.
Humana, UnitedHealthcare and WellCare collectively provide Medicare coverage to more than 271,000 seniors in Baptist's local market, WDRB reported Jan. 8
Baptist operates more than 400 non-hospital facilities across Kentucky and southern Indiana, according to its website. Baptist's nine hospitals, outpatient clinics, home care and 1,100 clinicians in its medical group are all affected by the split with UnitedHealth and WellCare.
"While we remain open to continued discussions, our focus now is ensuring the people we serve have access to the care they need through either continuity of care or a smooth transition to one of more than 90 hospitals or 14,000 physicians and practitioners remaining in our Medicare Advantage network in Kentucky," a UnitedHealthcare spokesperson told WDRB.