Looming Aetna, Mount Sinai Medical Center split could affect 100K

More than 100,000 patients could be affected if a price dispute between Aetna and Miami-based Mount Sinai Medical Center goes unresolved, according to the Miami Herald.

Aetna and its subsidiary Coventry Health Care of Florida notified members in early October that Mount Sinai Medical Center would exit their provider network. In the letter, Aetna informed members they would lose in-network access to the medical center Nov. 7, and Coventry members would lose in-network designation by Oct. 27.

In an Oct. 9 letter to customers, Mount Sinai CEO Steven Sonenreich said, "Coventry and Aetna have provided no rate increase to Mount Sinai in more than five years and we are compensated significantly less than other providers in Miami-Dade for the same services."

Aetna spokesperson Shelly Bendit told the Miami Herald it is continuing negotiations with Mount Sinai, though she did not offer specifics about the dispute.

"Both parties are working together to reach a fair and reasonable agreement," the spokesperson said.

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