Particle.news

Download on the App Store

Johns Hopkins and UnitedHealthcare Still Deadlocked on Authorization Terms With Aug. 25 Deadline

Tens of thousands of patients have received notices detailing unresolved authorization requirements alongside treatment-denial terms before the August 25 cutoff.

Image
Image

Overview

  • Negotiators have until Aug. 25 to reach a contract or Johns Hopkins physicians will be out-of-network for UnitedHealthcare members.
  • The two sides have agreed on reimbursement rates but remain split on prior authorization requirements and treatment-denial language.
  • Approximately 60,000 patients in Maryland, Virginia and Washington, D.C., have been notified of potential insurance changes.
  • Continuity-of-care safeguards allow patients with serious or complex conditions, such as cancer or pregnancy, to remain in network temporarily.
  • Johns Hopkins’s Florida hospital campus is exempt from the dispute and will stay in UnitedHealthcare’s network regardless of the talks’ outcome.