UnitedHealthcare, Envision settle payment dispute
Envision Healthcare and UnitedHealthcare have reached a new contract, effective Jan. 1, 2019, that will ensure UnitedHealthcare members get in-network hospital care from Envision's doctors.
Why it matters: The contract renewal ends a bitter, months-long feud between one of the country's largest health insurers and a major physician staffing firm, with each side lobbing scathing lawsuits at the other. But we have no idea whether patients got a good deal — financial terms were not disclosed, and both companies declined to comment beyond their press releases.
- UnitedHealthcare alleged Envision has engaged in "egregious billing practices," and data "indicates that Envision physicians charge on average 975% of Medicare for their services."
- Envision alleged UnitedHealthcare "unilaterally" lowered payment rates for its doctors and refused to add new Envision doctors and surgery centers to its insurance networks.
- Keep in mind, Envision is also a competitor to UnitedHealthcare's sister company Optum, which now owns surgery centers and doctors.