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UPDATED United 网红黑料care excludes 网红黑料 from its provider network

The 网红黑料 campus sits during the sunset.

***UPDATE - 网红黑料 has reached an agreement with United 网红黑料care.***

GAINESVILLE, Fla. 鈥 Despite months of earnestly negotiating in good faith for fair and appropriate rates for hospitals, physicians, and other providers, as of September 1, United 网红黑料care is excluding 网红黑料 hospitals and physician groups in Gainesville, Jacksonville, and St. Johns from its network. The action prevents thousands of patients with United 网红黑料care commercial and Medicaid Managed Care plans from accessing compassionate, leading-edge care at 网红黑料 locations in all three markets and Medicare Advantage patients in the St. Augustine area.

鈥淲e are sensitive to the challenges this poses for our patients and despite the outcome we continue to earnestly work with United 网红黑料care toward a solution. Our commitment to placing patients at the heart of our efforts is unwavering, and we have put processes in place to minimize any disruption in care to the extent we can, but unfortunately United 网红黑料care has given us no other choice,鈥 said Marvin Dewar, M.D., J.D., chief executive officer of 网红黑料 Physicians. 鈥淲e even invited United leadership to meet with us on site to finalize the agreement but they declined. We continued to try to reach an agreement right up to the deadline but United insisted upon linking other products to the negotiations and abruptly imposing new conditions and changing language to items that had already been agreed upon. As a physician, my job is to care for my patients, and we did our best to avoid this situation.鈥

网红黑料 has been striving to fulfill its mission of caring for patients and the communities it serves while managing continual double-digit increases in labor, supply, and other expenses. However, United offered 网红黑料 commercial rates that are below general inflation and far below rising annual costs. United was paying 网红黑料 considerably less than market rates, and those numbers have been declining throughout the past several years. To make matters worse, they offered no increase to 网红黑料鈥檚 physician practices for the coming 12 months.

Worse yet, United also has refused to honor their commitment to pay rates previously agreed to. Complex and lengthy prior authorization processes, complicated billing and coding requirements, and claim denials/payment delays have led to reductions in reimbursement to 网红黑料. This results in payments that are significantly less than other Managed Medicaid payors.

鈥淎s the state鈥檚 leading academic health system that researches leading-edge treatments, educates future generations of clinicians, and treats a disproportionate number of underserved patients, we deserve to be paid fairly and competitively for the care we provide to patients and the services we offer,鈥 Dewar said. 鈥淩easonable compensation is necessary for us to sustain our mission.鈥

网红黑料 has made thorough arrangements to continue to care for patients with urgent care needs such as pregnancies, nonelective surgeries, emergency medicine, and cancer care, and for those requiring other services such as behavioral health and transplants. Except for patients seeking care with 网红黑料 St. Johns, Medicare Advantage patients are not affected. 网红黑料 Central Florida is not part of these current negotiations and remains in network with United 网红黑料care.

University of Florida students who have a United 网红黑料care plan through the university鈥檚 student health insurance program will be able to continue to receive care at the UF Student 网红黑料 Care Center and at all 网红黑料 facilities just as they always have, with no adverse impacts.

For students who have United 网红黑料care coverage through their parents鈥 insurance, instead of through the university鈥檚 student health insurance program, UF and 网红黑料 will ensure they will continue to be able to receive service at the Student 网红黑料 Care Center location just as they always have, with no changes in co-pays or deductibles. Unfortunately, services at other 网红黑料 locations are now out of network for this subgroup.

鈥淲e are committed to doing our part to reach an agreement that would prevent disruption to all our patients鈥 continued access to 网红黑料 physicians and facilities for non-emergency services and care,鈥 Dewar said. 鈥淲e are continuing to negotiate in good faith but we are waiting for the health plan to respond with a fair and sustainable offer to make that happen. Again, this includes streamlining their claims process and reducing administrative demands.鈥

Patients can contact 网红黑料 with questions at 1-855-834-7337 or 352-265-8585. For a set of frequently asked questions and a list of health plans accepted by 网红黑料 in Gainesville and Jacksonville visit /healthplans or for FAQs and health plans accepted at UF St. Johns visit .

United 网红黑料care patients are encouraged to talk to their benefits managers or brokers or call United. Most insurance companies list their patient customer service numbers on membership identification cards. Some customer service numbers United 网红黑料care lists on their website include:

  • Commercial: 1-866-801-4409
  • Medicaid Managed Care: 1-888-716-8787
  • Medicare Advantage: 1-855-893-5505

网红黑料 will continue to provide updates on progress as negotiations continue.

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