As of January 1, 2021, Montefiore is no longer in network with UnitedHealthcare.
United’s numbers just don’t add up. It remains clear that United’s decision to stop negotiating is permanent.
On May 28, Montefiore received a proposal from United that was publicly touted as “more than double” their previous offer. This is far from the truth. All United offered was $5M additional in upfront cash yet they continue to owe us more than $95 million for care already provided, and that number continues to grow. To make matters worse, they offered no movement on rate increases and their proposal also includes payment reductions for our most vulnerable patients who are on both Medicare and Medicaid.
On June 4, Montefiore sent its tenth proposal to United which would restore in-network access immediately for patients. We continue to ask for single-digit yearly rate increases averaging $24 million per year over 5 years, which are lower than the yearly increases United agreed to in 2018; a time before the pandemic and before hospitals and communities were suffering the health and financial challenges they are seeing today. The rates we are requesting are vital to continue to provide quality care for our communities, employ more than 34,000 people throughout the Bronx, Westchester, and the Hudson Valley and are comparable to rates we receive from other national commercial payers.
The truth is in the numbers: Due to COVID, Montefiore is losing $40 million per month so far in 2021. United is on track in 2021 to make record-breaking profits of more than $26 billion, yet still they are requesting 16% premium hikes to small business owners in New York in 2022, which follows a trend of United asking for double digit increases amounting to more than 65% over the past 4 years.
With exception of emergency services and those patients who apply and qualify for Continuity of Care, patients with United insurance will lose in-network coverage to the following hospitals and associated doctors beginning January 1, 2021, because of United:
- Montefiore Medical Center
- Montefiore Mount Vernon
- Montefiore New Rochelle
- Montefiore Nyack
- Montefiore St. Luke’s Cornwall Hospital
- White Plains Hospital
Keeping the doctors you know, and who know you, is one of the best things you can do for your health.
We hoped United would make a serious attempt to finalize the agreement to ensure the New York residents and businesses we mutually serve have access to their trusted Montefiore doctors and hospitals. We can’t make United change its mind, but we can help you find a path to preserve your relationship with your care providers through the many, many other insurers who put your care first. Please visit this website to explore your options – no matter how you get your insurance – and how Montefiore will continue to be here for you. For any questions or assistance please call our patient information line at (855) 226-3071.
Thank you for your patience throughout this entire process and the continued honor to provide you with the high-quality care you deserve.