UF Health and United Healthcare Intensify Negotiations to Secure Better Reimbursement Rates: What It Means for Patients

GAINESVILLE, Fla. – Talks between UF Health and United Healthcare, which seemed stalled, have taken a new and hopeful turn this January. Both organizations are actively working to improve reimbursement rates.

Dr. Marvin Dewar, CEO of UF Health Physicians, is optimistic about reaching a resolution. He mentioned that efforts are being made to bring Medicaid patients back into the network sooner than those with commercial plans.

According to Dr. Dewar, UF Health has been waiting for millions in payments for various types of care since September 1. He emphasized the hospital’s commitment to providing care, highlighting that many patients rely on their services.

United Healthcare, on the other hand, has released statements disputing claims that it has a high rate of claim denials. They claim to pay 98% of all claims, arguing that the remaining 2% were not covered due to plan guidelines.

However, Dr. Dewar raised concerns about specific denials, such as for routine mammograms. He questioned why patients face obstacles for essential services that shouldn’t require extensive approval.

United Healthcare sometimes requires prior authorization for certain procedures, which has caused confusion. They also stated that new transplant cases after September 1 would be considered out of network, a point that UF Health contests.

Dr. Dewar clarifies that the transplant contract issues arise from a separate agreement with a different United company.

A spokesperson for United Healthcare reassured that negotiations are ongoing, with over a dozen meetings in just a few weeks. Their goal is to find a solution that’s affordable for both consumers and employers.

As both sides strive for agreement, many in the community are hopeful for a resolution that will benefit patients and providers alike.

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