By
Jonathan LaMantia | November 28, 2018
New York-Presbyterian and Empire Blue Cross and Blue Shield have
agreed to a multiyear deal to keep the 10-hospital health system in Empire's
network. The accord ends a public fight that stoked fears that about 300,000 NYP
patients would face higher out-of-network charges next year.
The agreement will also maintain Empire members' access to New York-Presbyterian's medical groups, including Columbia Doctors and Weill Cornell Medicines. Their current agreement was set to expire on Dec. 31 and covered people in employer-sponsored, individual, Medicare and Medicaid plans.
A spokesman for NYP declined to disclose further details of the contract. The typically private nature of managed care negotiations spilled out into the open last week when the City Council scrutinized New York-Presbyterian's prices.
"We are pleased that this agreement will allow patients to continue to choose to receive care from NewYork-Presbyterian and its affiliated physicians," both sides said in a joint statement.
The agreement will also maintain Empire members' access to New York-Presbyterian's medical groups, including Columbia Doctors and Weill Cornell Medicines. Their current agreement was set to expire on Dec. 31 and covered people in employer-sponsored, individual, Medicare and Medicaid plans.
A spokesman for NYP declined to disclose further details of the contract. The typically private nature of managed care negotiations spilled out into the open last week when the City Council scrutinized New York-Presbyterian's prices.
"We are pleased that this agreement will allow patients to continue to choose to receive care from NewYork-Presbyterian and its affiliated physicians," both sides said in a joint statement.
New York-Presbyterian said a potential $200 million cut in
reimbursement would have threatened its ability to invest in patient care and
support the training of future physicians.
If the two sides had not reached a deal, NYP stood to lose a major source of patients, while Empire faced the prospect of selling policies without U.S. News' top-rated New York hospital in its network. New York-Presbyterian had begun advising patients to consider other insurers on a website set up to notify them that its contract with Empire was set to expire.
This story originally appeared in Crain's New York Business.
If the two sides had not reached a deal, NYP stood to lose a major source of patients, while Empire faced the prospect of selling policies without U.S. News' top-rated New York hospital in its network. New York-Presbyterian had begun advising patients to consider other insurers on a website set up to notify them that its contract with Empire was set to expire.
This story originally appeared in Crain's New York Business.
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