As of Feb. 28, Charlotte, N.C.-based Carolinas HealthCare System physicians and hospitals are set to no longer be considered in-network for UnitedHealthcare members, according to The Post and Courier.
The CEO of Charleston, S.C.-based Roper St. Francis hospital, which is part of Carolinas HealthCare System, sent a letter earlier this month to affected UnitedHealthcare members stating some members may be eligible to continue receiving in-network benefits during a transition period after Feb. 28. However, most members will have to pay higher out-of-network prices.
Although UnitedHealthcare and Carolinas HealthCare System are still involved in negotiations over the contract, their efforts are not showing much promise for reaching an agreement.
Concerning Roper St. Francis, a spokesman from the hospital told The Post and Courier "there are significant gaps in what UnitedHealthcare is proposing and what Roper St. Francis considers to be fair rates and contract terms."
However, UnitedHealthcare said the hospital is demanding a reimbursement increase "above the market average without any commitment to the quality or value it provides our customers," according to the report.