Particle.news
Download on the App Store

UnitedHealthcare–Fairview Negotiations Leave 100,000+ Commercial Patients Facing Possible Jan. 1 Out‑of‑Network Shift

Medicare Advantage members retain in‑network access under a separate one‑year deal through 2026.

Overview

  • Fairview says its five‑year commercial contract with UnitedHealthcare ends Dec. 31, putting roughly 100,000 to 125,000 Minnesota patients at risk of losing in‑network access on Jan. 1, 2026.
  • Fairview has begun mailing notices to affected commercial members as talks continue over reimbursement rates and administrative terms.
  • UnitedHealthcare says Fairview seeks a price increase of more than 23% over three years, which it estimates would add about $121 million in costs.
  • The insurer emphasizes that many Minnesota members are in self‑funded employer plans and estimates employers could pay an additional $1 million to $6.3 million.
  • Fairview argues recent reimbursement growth has lagged inflation and labor costs and contends UnitedHealthcare’s denials, prior authorizations, and payment delays create barriers to care.