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North Carolina Health Insurance News

Health-pay argument with a North Carolina health insurance worker has spilled into the courts in spite of lively talks between the Hartford health insurer and Novant Health in the direction of a declaration, authorities said Wednesday.
Novant Health, parent of the Presbyterian system of hospitals and medical clinics portion about 5 million people in the Carolinas and Virginia, last week sued Aetna in Mecklenburg County, N.C., the Charlotte Observer reports.
At issue is a new indenture to return one that expires July 1 for which the Winston-Salem-based health system is looking for higher compensation rates that Aetna won’t agree to.
Their clash went public three weeks ago, when Aetna warned some doctors in Novant’s network that they may have to disclose patients to other hospitals if it cannot reach a new contract with Novant.
The Observer reports both sides said Tuesday they hope to negotiate a contract by june. Aetna says Novant wants a 12 percent augment on top of the listed 7.7 percent rate increase it got in January. Aetna said the 12 percent ramble would include a 6.9 percent rate amplify for its greater Winston-Salem market that includes Forsyth Medical Center, Medical Park Hospital and Thomasville Medical Center.
Aetna said Novant is already Aetna’s most exclusive system in North Carolina, with rates 51 percent above the national average and 30 percent above the state average.
The suit alleges that Aetna in jeopardy to expire doctors’ aptitude to treat Aetna patients unless those doctors agreed to send patients to hospitals operated by Novant competitors, the newspaper reports online.
Meanwhile, the suit says, the insurer with determination unsuccessful to notify doctors and patients that members may ask for that Aetna carry on to provide in-network coverage for 90 days after the contract ends.

This entry was posted on Friday, June 4th, 2010 at 7:17 am and is filed under Health Insurance. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

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