Payers splitting with health systems: How ASCs could be affected

Becker's Healthcare January 20, 2023
Patsy Newitt

Contract disputes and payer splits are threatening coverage nationwide, and some ASCs are being affected by the parties unable to meet year-end or looming deadlines.

Here are four disputes or splits affecting ASCs and clinics:

1. Although Regence BlueShield of Washington came to an agreement to keep commercial members in network at the Polyclinic in Seattle and the Everett Clinic, the payer’s Medicare advantage members are still in limbo.

Regence BlueShield of Washington’s contract with Optum-owned Everett Clinic and Polyclinic expired Dec. 5, and the two sides on Dec. 22 reached an agreement to keep commercial members in network. But negotiations between the clinics and Regence BlueShield are ongoing, The Daily Herald reported Jan. 10, and multiple Regence...

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