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Hopkins and CareFirst reach deal over insurance dispute

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Johns Hopkins and CareFirst BlueCross BlueShield well being insurance introduced Wednesday they’ve settled a contract dispute, making certain protection won’t be interrupted for almost 300,000 sufferers that depend on the Baltimore-based well being system.

Hopkins and CareFirst mentioned final month they had been at an deadlock over charges the insurance firm pays for care at Hopkins, a significant supplier of major, specialised and outpatient surgical providers within the area.

In a quick assertion and video, Kevin W. Sowers, president of the Johns Hopkins Health System and govt vp of Johns Hopkins Medicine, mentioned Hopkins medical doctors, nurses, different caregivers and ambulatory surgical procedure facilities will stay in-network for CareFirst members.

“Thank you for your patience as we worked with CareFirst to come to this resolution,” Sowers mentioned within the video.

A CareFirst spokeswoman mentioned CareFirst and Hopkins officers wouldn’t conform to interviews or reply questions in regards to the “financial and nonfinancial terms of the agreement.”

Hopkins final month introduced its medical doctors, nurses and different well being care suppliers would not settle for CareFirst as of Dec. 5, which hospital officers mentioned fulfilled their contractual obligation to offer 90 days discover earlier than suppliers depart the community.

The contract covers about 4,000 suppliers employed by Hopkins on the Johns Hopkins flagship hospital and Bayview Medical Center in Baltimore, in addition to Howard County General Hospital in Columbia, Md., Suburban Hospital in Bethesda and Sibley Memorial Hospital in Washington. Providers at stand-alone ambulatory surgical procedure facilities, together with these in Bethesda and Columbia, would even be affected.

In addition to the suppliers, Hopkins hospitals in Maryland had been set to go away the community if Hopkins and CareFirst couldn’t reach an settlement by March 5, which means hospital stays wouldn’t have been lined.

The dispute got here simply earlier than the interval of “open enrollment,” when many sufferers select their well being insurance for the approaching 12 months, including to the strain for CareFirst.

Hopkins and CareFirst officers beforehand mentioned care may proceed, even when no settlement had been reached, for some folks with extreme sickness, uncommon problems or sure cancers, or for many who are enrolled in scientific trials.



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