Terms of the contract include payment rates for the health system and its affiliated Weill Cornell Medicine, ColumbiaDoctors and NewYork-Presbyterian Medical Groups physicians. Care provided in NewYork-Presbyterian facilities and by affiliated physicians will be billed at out-of-network rates beginning Jan. 1, 2019, if a new deal is not reached.
“Instead of working with us to find an equitable solution, Empire/Anthem has demanded deep cuts that would slash more than $200 million in payments to NewYork-Presbyterian, all while the insurance giant generates billions in profits,” NewYork-Presbyterian said on its website, www.staywithnyp.com.
NewYork-Presbyterian projects 300,000 Empire BCBS members could be affected if negotiations collapse, according to Crain’s New York Business.
An Empire spokesperson told the publication: “It is our sincere desire to reach an agreement with NewYork-Presbyterian on reasonable terms so they can remain in-network with Empire. Our No. 1 priority during these negotiations is to protect consumers’ access to healthcare that is affordable.”
More articles on payers:
5 best practices for payers, providers to hasten evidence-based care adoption
CMS’ new state waiver for paying mental health institutions: 4 things to know
10 states with the lowest 2019 average Medicare Advantage costs
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.
