At least two major healthcare providers have been unable to reach contract agreements with UnitedHealthcare for 2021, leaving patients to pay out-of-network rates for previously in-network providers. Montefiore and Envision both state that UnitedHealthcare refuses to negotiate in good faith during a pandemic, when providers are working harder than ever. UnitedHealthcare, one of the nation’s largest commercial health insurance companies, claims that the providers’ rates are much higher than median national reimbursement rates.
The American College of Radiology® (ACR®) and the ACR Payer Relations Committee are monitoring national insurer trends and impacts on patient access to high quality healthcare.