Actions speak louder than words. What do United’s actions say?

Click below to learn the truth about our negotiations with United.
  • United is beholden to its shareholders. Montefiore’s ONLY business is to take care of our patients – all of them.
  • Other payors recognize the work Montefiore does, and are willing to partner in meaningful ways to protect our patients, their customers.
  • Montefiore works with plenty of payors that value their care enough to keep us in network. Only United has an issue.
  • Montefiore is only asking for modest single digit increases for the next 3 years, NO 30%. Period.
  • Montefiore’s ask is on par with our other payor partners.
  • United’s proposed “flat rates” at our two flagship facilities, which is 90% of our United revenue, equaling a rate reduction system wide.
  • While United continued its delays, brokers and employers received reassurance that a deal would be reached.
  • Instead of working for its consumers, United notified Montefiore at 9:00PM ET via text that it was uninterested in engaging in discussions with Montefiore; choosing to disrupt patient care.
  • Communicating United’s unwillingness to consider proposals is the opposite
    of good faith negotiations.
  • A recent RAND study shows that we are moderately priced compared to our peers.
  • CMS data shows among our academic peers, Montefiore  is the most efficient hospital.
    United is using rising cost scare tactics with their self-funded customers.
  • United has openly shared they are on a pursuit to strengthen their market share.
  • United has requested double digit premium hikes year after year over the last several years – independent of any negotiation.
  • United’s premiums are not dictated by Montefiore’s contract or by the rates that any one hospital receives.
  • Cutting off your employees from their doctors and hospitals.
    ONLY hurts your employees.
  • United says their profits are national and aren’t being used in markets like New York.
  • The United President who declined Montefiore’s offer to continue negotiations lives in Florida. She doesn’t have to experience the repercussions of United’s decisions – our local employers and communities do.
  • United waited until October to respond to Montefiore’s July proposal, delaying negotiations for no clear reason.
  • United again delayed negotiations for another month in November, then in the final hours of New Year’s Eve 2020 tried to delay again.
  • To this day, United continues to prolong uncertainty while Montefiore continues to urge United to the table to make meaningful movement.
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  • UNITED

    • Holding their members, your employees, and our communities hostage in the midst of a global pandemic.
      • United is beholden to its shareholders. Montefiore’s ONLY business is to take care of our patients – all of them.
        • Other payors recognize the work Montefiore does, and are willing to partner in meaningful ways to protect our patients, their customers.
        • Montefiore works with plenty of payors that value their care enough to keep us in network. Only United has an issue.
    • Mischaracterizing the ask.
      • Montefiore is only asking for modest single digit increases for the next 3 years, NOT 30%. Period.
      • Montefiore’s ask is on par with our other payor partners.
      • United’s proposed “flat rates” at our two flagship facilities, which is 90% of our United revenue, equaling a rate reduction system wide.
    • Spent the last months misrepresenting its actions to consumers.
      • While United continued its delays, brokers and employers received reassurance that a deal would be reached.
      • Instead of working for its consumers, United notified Montefiore at 9:00PM ET via text that it was uninterested in engaging in discussions with Montefiore; choosing to disrupt patient care.
      • Communicating United’s unwillingness to consider proposals is the opposite of good faith negotiations.
    • Making up facts.
      • A recent RAND study shows that we are moderately priced compared to our peers.
      • CMS data shows among our academic peers, Montefiore is the most efficient hospital. United is using rising cost scare tactics with their self-funded customers.
    • Raising premiums regardless of any one hospital’s rates.
      • United has openly shared they are on a pursuit to strengthen their market share.
      • United has requested double digit premium hikes year after year over the last several years – independent of any negotiation.
      • United’s premiums are not dictated by Montefiore’s contract or by the rates that any one hospital receives.
    • Only focused on United. Not New York employers.
      • Cutting off your employees from their doctors and hospitals ONLY hurts your employees.
      • United says their profits are national and aren’t being used in markets like New York.
      • The United President who declined Montefiore’s offer to continue negotiations lives in Florida. She doesn’t have to experience the repercussions of United’s decisions – our local employers and communities do.
    • Forced this situation.
      • United waited until October to respond to Montefiore’s July proposal, delaying negotiations for no clear reason.
      • United again delayed negotiations for another month in November, then in the final hours of New Year’s Eve 2020 tried to delay again.
      • To this day, United continues to prolong uncertainty while Montefiore continues to urge United to the table to make meaningful movement.

 

What you should know:

We are disappointed that United decided to let Montefiore’s current contract expire as of midnight December 31, 2020. Despite our best efforts to negotiate in good faith since July, we have made little progress with United.

  • United would not consider Montefiore’s good faith proposal for months and just sat on it, which led to them dropping us from their network.
  • In the final hours of 12.31.20, without our proposal in mind, United offered an extension, without any good faith progress, that would have prolonged uncertainty until a time when you would have missed your opportunity to switch plans to one that would have restored and secured your in-network access to the Montefiore physicians and hospitals you trust.
  • Once again, Montefiore offered to negotiate in good faith to get a deal done and prevent disruption, even in the final hours. United declined our invitation.
 
 

Our patients’ wellbeing is important to us. We are honored you have trusted your healthcare needs to Montefiore. It is our responsibility to ensure every partnership we enter into supports the high-quality healthcare you deserve. This is our single goal with United.

Our priority remains your health, wellbeing, and restoring your in-network access to MHS hospitals and physicians. We continue to do everything in our power to reach an agreement with United. 

  • You will always have in-network access to our emergency rooms. Regardless of our contract status with United, patients experiencing a medical emergency should always visit the nearest emergency room.
  • You may still have in-network access to our hospitals. Some United health insurance plans, like commercial and Oxford products, lost access to their trusted physicians effective January 1, 2021, but still have access to our hospitals through March 1, 2021. Please contact your broker or United to find out if your plan is included.

 

Despite United’s misrepresentation, here’s what’s really happened. We’ve highlighted the chronology of events over the past six months:

to the United team that requested single digit increases that reflected what is needed to keep our doors open and that are consistent with our other large partner payments.

with a two-year counter proposal that reduced rates to our two flagship facilities, representing 90% of our United commercial revenue and resulting in an overall and unsustainable rate reduction to Montefiore.

At that point, United went from a rate reduction to zero rate increase (or flat proposal) on the two main facilities.

with material movement, reducing our request further in a good faith effort.

of essentially a zero-rate increase for year 1, adding less than 1% to year 2, and adding a 3rd year at the year 2 increase level. 

with yet another material reduction.

United responded with a letter misrepresenting our proposal and efforts and indicating their intention to not provide a counter.

responding to and correcting specific misrepresentations from United’s correspondence. As we had done in each previous correspondence, we reiterated Montefiore’s willingness to make our team available to work in earnest to reach an agreement before our contract expired.

instead replying with correspondence that indicated there would still be no counter or consideration of our detailed proposal and response, but rather requested an extension without any good faith progress – continuing to drag out the uncertainty well into 2021. 

stating that given the events of the last six months, including United’s repeated indication they would not move, it was unlikely an extension would bring any different outcome.

indicating that it is unclear, based on the content of text we received on New Year’s Eve, if United continues to be interested in pursuing further good faith negotiations.

Although we sent the last proposal with material movement, United requested that we re-propose again against our latest proposal.

indicating that the Montefiore team stands ready to reach a mutually beneficial deal.

indicating that the Montefiore team stands ready to reach a mutually beneficial deal.


What you can do:

If possible, consider switching plans to one that provide network access to Montefiore hospitals and physicians.