Sentara Health notified Anthem that it will let its commercial, Medicare and Medicaid contracts expire at year's end unless the two sides reach a new rate agreement. The dispute puts coverage for an estimated 380,000 Virginians at risk.
Mount Sinai is out of network for UnitedHealthcare's employer-sponsored and individual plans as of January 1 due to a payment dispute. Both parties are likely at fault for getting to this point, one expert declared.
What if health plans could identify member decline before an avoidable hospitalization occurs? Real-time clinical visibility into long-stay SNF members uncovers risk earlier and drives better outcomes.