CareFirst CEO and President Chet Burrell said, for the hospital’s part, AAMC is requesting $13 million in professional fees from the payer.
However, AAMC CEO and President Victoria Bayless called the CareFirst estimates “extremely misleading.”
“We have requested a fraction of the amount,” Ms. Bayless told Capital Gazette. She did not provide additional figures, declining to “go back and forth and play it out in the open market.”
The stalemate concerns reimbursements for radiology services and performance-based bonuses CareFirst pays physicians, Mr. Burrell said.
Following months of stalled negotiations, AAMC said Monday it would terminate its contract with CareFirst if the parties failed to reach a resolution by Sept. 30. CareFirst members affected by the change would lose in-network access to AAMC Jan. 1, 2018, and Anne Arundel Medical Group practices and other facilities Oct. 1, 2017.
More articles on payer issues:
Aetna to monitor customer apps with behavior-based security
Customer experience No. 1 reason health plans invest in analytics, survey finds
4 health systems on the brink of dropping payers
