Anthem Deadlocked with Martha Jefferson ER Doctors over Rates
Martha Jefferson Hospital
A midnight deadline is looming
between some doctors at Martha Jefferson Hospital and the largest health
insurance company in the state.
One out of three Virginian's
relies on Anthem, and part of what it covers may be different by Saturday
Anthem insurance and Piedmont
Emergency Consultants - the group that staffs Martha Jefferson emergency rooms
- are deadlocked in negotiations over rates.
Friday at midnight, the
existing contract between Anthem and PEC expires. At that point, Anthem
insurance members will be paying out of network, which is a higher cost than in-network
prices for those doctors' services.
Dr. Ricciardi, an emergency
room physician at PEC, remains hopeful a deal can be worked out.
"Today is our last day of
participation with Anthem. If we don't hear from them - and we are still very
hopeful we are going to hear from them so that we can start the negotiation
process - barring any communication from Anthem we will be out of network with
them," Ricciardi said.
Ricciardi says there has
been no movement and no direct communications since the ER physicians demanded
an initial rate increase.
All Martha Jefferson
services and procedures throughout the hospital and in the ER - except for the
rates of the ER doctors - will remain in network with anthem.
emphasizes the only thing this rate increase affects is patient bills for
emergency room doctor services.
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