Updated September 1, 2022
Broward Health’s facilities and its physicians are now out of network following the health system’s refusal to move off its egregious price hike demands
Despite months of hard work and repeated efforts to find a compromise, we were unable to reach an agreement with Broward Health for its physician contract. As a result, Broward Health’s employed physicians are now out of network for employer-sponsored, individual, Medicare Advantage and Medicaid plans, as well as our Veteran Affairs Community Care Network (VACCN) plan, effective Sept. 1, 2022. Please note this change impacts all UnitedHealthcare Medicare Advantage plans including our affiliates, Preferred Care Partners and Preferred Care Network (formerly Medica) in Florida.
Broward Health’s facilities continue to remain out of network following the health system’s decision to terminate our contract as of April 1, 2022.
Our goal was to reach an agreement that was affordable for the people and employers we serve while avoiding any disruption to care for our members. Unfortunately, Broward Health has continued to make egregious price hike demands that are not affordable or sustainable for the people and employers of Broward County.
Broward Health’s latest proposal demands a 22% price hike in just the first year of our contract for its employed physicians and a 26% price hike in year one for its facilities.
The rates Broward Health is seeking would drive up premiums and out-of-pocket costs as well as the cost of doing business for both our self-insured and fully insured customers, impacting their ability to offer health care coverage for their employees.
Broward Health’s proposal would directly drive up health care costs for our self-insured customers given that these employers pay the cost of their employees’ medical bills themselves rather than relying on UnitedHealthcare to pay those claims. In Broward County, nearly 80% of our commercial members are enrolled in self-insured plans.
Broward Health’s latest proposal also demands that by year three of our new contract we match the rates of the insurer paying them at the highest reimbursement at that time. The health system’s suggestion that we match the rates of another insurer ignores the reality of how contracts are negotiated and would do nothing but needlessly drive up health care costs for the residents of Broward County and companies doing business here.
The employers we serve rely on access to predictable costs so they can forecast what they might pay for health care in any given year. Broward’s Health’s demands make that impossible.
Publicly available transparency data from Broward Health illustrates we are already reimbursing the health system at rates consistent with other health insurance plans.
Broward Health has stated that the contract it is seeking would result in reimbursement similar to those from other health insurance providers. It’s important to note that Broward Health’s publicly available transparency data illustrates that we are already reimbursing the health system at rates consistent with other health insurance plans.
We proposed to Broward Health that we finalize the terms of our Medicare Advantage, Medicaid and VACCN contracts given we have an agreement on those plans. The health system refused.
We have an agreement on new contracts for our Medicare Advantage and Medicaid plans as well as VACCN. We proposed to Broward Health that we finalize the terms of those agreements so that the people enrolled in those plans can continue to access care with their Broward Health physician without any disruption while also restoring network access to the health system’s facilities. Broward Health refused and has disrupted access to care for some of Florida’s most vulnerable residents in an effort to pressure us to accept its egregious price hike demands for our commercial contract.
We are offering Broward Health a significant increase in its reimbursement that balances the economic needs of the employers we serve while also ensuring the health system is fairly and appropriately reimbursed for the services it provides.
We have provided Broward Health multiple proposals that demonstrate our willingness to compromise as part of good-faith negotiations. Our latest proposal to Broward Health would ensure the health system is appropriately compensated for the important services it provides to our members and provides Broward Health rate increases that are substantially higher than the current Consumer Price Index for medical care. Our proposal also includes changes to our contract that Broward Health sought.