Carlisle Regional Medical Menter will not accept the Gateway Medicaid plan in 2013 [The Sentinel, Carlisle, Pa.]
By Christen Croley, The Sentinel, Carlisle, Pa. | |
McClatchy-Tribune Information Services |
"Gateway has been in contract negotiations with the company that manages
Worek did not divulge specific information pertaining to the breakdown of negotiations but said Gateway mailed letters to its members mid-November about the contract termination. In the letter, members were advised to switch providers or
"Gateway has demanded that our hospital accept a contract renewal that decreased the rates to be paid to the hospitals substantially while hospital costs have continued to increase," Mead said. "While our hospital-affiliated physician groups are not part of this negotiation, Gateway requires physicians to admit to an 'in-network' facility. For this reason, Gateway may not allow these physician groups to continue to see patients who are members of their health plan."
"We all play an important role in improving quality and efficiency, and insurance companies must do their part too, and that includes fair payments," CRMC CEO
"
Mead said
The Gateway Medicaid Health Plan provides medical assistance to 255,000 low-income families as a subcontractor for the
"
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