If a resolution is not reached, OhioHealth patients with Anthem’s Medicare Advantage insurance will lose coverage for nonemergency services beginning Jan. 1. The impasse could end a seven-year relationship between the health system and Anthem’s Medicare plan.
In a statement to The Columbus Dispatch, OhioHealth said: “We recognize this is a disruption for our Anthem Blue Cross Blue Shield Medicare Advantage patients and we are sorry for that. … Fortunately, there are several Medicare Advantage plan options that, if chosen by patients, will enable our patients to continue to obtain elective care with OhioHealth.”
In a statement to the publication, Anthem said it “recognizes that OhioHealth’s decision to no longer provide in-network care to individuals enrolled in our Medicare Advantage health plans may create inconveniences and confusion. The company is committed to offering support services and ensuring consumers have uninterrupted access to care.”
More articles on payers:
Cigna, Hartford HealthCare reach 3-year agreement
Savannah’s Memorial hospital, Blue Cross renew network deal
CVS: Aetna will keep HQs for 10 years
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.
