A reimbursement rate dispute between Clearwater, Fla.-based BayCare Health System and health insurer UnitedHealthcare could affect more than 400,000 United enrollees in the Tampa Bay area, according to a Tampa Bay Times report.
Originally, negotiations between the two organizations hit a snag over Medicare Advantage plans, but now any UnitedHealthcare customer with a Medicaid plan or employer-sponsored plan would also be out-of-network for BayCare facilities when the contract ends, according to the report.
The current contract between BayCare and UnitedHealthcare expires Nov. 26. However, spokespeople from both organizations have said they have guidelines in place to try and continue in-network benefits for those who may qualify.
BayCare officials said it is owed $11 million in unpaid claims from UnitedHealthcare, while health insurer spokespeople said BayCare is trying to "win unreasonable rates," according to the report.
Originally, negotiations between the two organizations hit a snag over Medicare Advantage plans, but now any UnitedHealthcare customer with a Medicaid plan or employer-sponsored plan would also be out-of-network for BayCare facilities when the contract ends, according to the report.
The current contract between BayCare and UnitedHealthcare expires Nov. 26. However, spokespeople from both organizations have said they have guidelines in place to try and continue in-network benefits for those who may qualify.
BayCare officials said it is owed $11 million in unpaid claims from UnitedHealthcare, while health insurer spokespeople said BayCare is trying to "win unreasonable rates," according to the report.
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