Trinity Health says its contract renewal with the insurance company is lacking fair rates that compensate for its costs and level of care, similar to experiences with other providers.
05/29/2024 3:45 P.M.
1 minute read
Negotiations between nonprofit hospital system Trinity Health and UnitedHealthcare are ongoing due to a proposal from the insurance payer “far below the rates of other payer contract renewals,” Becker’s Hospital Review reports.
With a July 1 deadline approaching, the parties have been negotiating the contact terms for Trinity’s hospitals, facilities and physicians for several months.
What’s the holdup?
Trinity is asking for rates other insurance payers have offered to ensure reimbursement for its costs for care and inflation, according to the report.
If there isn’t an agreement, Trinity’s care will be “out of network for Medicare Advantage, Medicaid and employer-sponsored commercial plans effective July 1.”
Healthcare providers are seeing patient numbers rebound, partially helping offset costs of employment and supplies, but others are still behind on better operating margins, Becker’s reports.
Trinity Health isn’t the only provider experiencing tough contract negotiations to receive their needed reimbursement for care.
A provider in Chicago, CommonSpirit, is seeking change in payer-provider contracts that has payers take on some of the costs of inflation, according to the report.
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