Beginning Aug. 1, the independent medical practice will no longer be an in-network provider for patients with commercial Anthem plans, according to the report. Anthem Medicare Advantage patients will no longer be in network starting Sept. 1.
Fore River Urology said it has been trying to negotiate a contract renewal with Anthem for months but alleges Anthem is unwilling to reimburse at a rate that will cover the cost of providing services, according to the report. The provider had 10,000 patients who have been covered by Anthem for the last three years.
A spokesperson for the provider told Maine Public Radio the current reimbursement rates with Anthem haven’t changed since 2017, but medical inflation has grown almost 15 percent.
An Anthem spokesperson told Maine Public Radio the provider is demanding a nearly 50 percent increase in reimbursement rates and said counteroffers have been rejected.
Fore River Urology’s announcement comes about a month after Maine Medical Center said it is exiting Anthem’s provider network in January.
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