Particle.news
Download on the App Store

Jefferson to Drop UnitedHealthcare at Lehigh Valley Health Network in 2026

Jefferson says years of underpayment by UnitedHealthcare forced the decision.

Overview

  • Contracts covering LVHN will end for UnitedHealthcare Medicare Advantage members in late January 2026 and for commercial employer plans on April 25, 2026.
  • Jefferson alleges UnitedHealthcare has not honored negotiated rates since 2021, resulting in reimbursements about 40% below expected levels.
  • UnitedHealthcare told Newsweek it offered a proposal in April, has not received a counter since, and said LVHN previously sought a near 30% first‑year increase.
  • LVHN treated roughly 70,000 United‑insured patients over the past 18 months, and the timing coincides with Medicare Advantage enrollment through Dec. 7, raising potential out‑of‑pocket concerns.
  • Other Jefferson providers in the Philadelphia region remain in network with UnitedHealthcare as Jefferson continues negotiations following a brief Cigna impasse earlier this year.