{"id":118732,"date":"2025-11-06T14:30:11","date_gmt":"2025-11-06T14:30:11","guid":{"rendered":"https:\/\/www.newsbeep.com\/il\/118732\/"},"modified":"2025-11-06T14:30:11","modified_gmt":"2025-11-06T14:30:11","slug":"fairview-going-public-with-unitedhealthcare-contract-dispute","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/il\/118732\/","title":{"rendered":"Fairview going public with UnitedHealthcare contract dispute"},"content":{"rendered":"<p class=\"rt-Text\">Final denials on hospital claims by UnitedHealthcare are 126% to 136% higher than other big carriers, Fairview says, adding that claims often require more follow-up. Denials often force Fairview to appeal decisions to secure payment already owed, the health system says, and can result in no payment at all for care that\u2019s already been delivered.<\/p>\n<p class=\"rt-Text\">\u201cThese issues directly affect Minnesotans\u2019 ability to access timely, high-quality care and must be resolved to ensure long-term stability for patients and communities,\u201d said Dr. Jaya Kumar, chief medical officer at Fairview, in a statement. \u201cWe cannot let a for-profit insurer put barriers between our patients and the care they need.\u201d<\/p>\n<p class=\"rt-Text\">UnitedHealthcare says Fairview is again communicating similar, false allegations about how the company processes claims, just as the health system did during the <a href=\"https:\/\/www.startribune.com\/fairview-access-at-risk-for-33000-patients-in-unitedhealthcare-medicare-advantage\/601498877\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.startribune.com\/fairview-access-at-risk-for-33000-patients-in-unitedhealthcare-medicare-advantage\/601498877\">earlier Medicare Advantage dispute<\/a>. These tactics are meant to distract people, the insurer says, from seeing how Fairview is pushing for significant price hikes that aren\u2019t affordable for families and local companies.<\/p>\n<p class=\"rt-Text\">The majority of UnitedHealthcare\u2019s commercial members in Minnesota are enrolled in what are known as \u201cself-insured\u201d health plans, the company says, where employers take financial risk for the cost of medical claims.<\/p>\n<p class=\"rt-Text\">With Fairview\u2019s proposed rates, four of these self-insured employers would see their costs rise by $5.4 million or more each, the insurer says, while some of the most heavily affected companies\u2019 costs would increase more than $6 million.<\/p>\n<p class=\"rt-Text\">\u201cFairview\u2019s proposal would increase health care costs by approximately $121 million, which would come out of the operating budgets of local employers,\u201d UnitedHealthcare said in a statement. \u201cThis would impact the money they have to grow their business and compensate their employees.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"Final denials on hospital claims by UnitedHealthcare are 126% to 136% higher than other big carriers, Fairview says,&hellip;\n","protected":false},"author":2,"featured_media":118733,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[163,521,85,46],"class_list":{"0":"post-118732","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-healthcare","8":"tag-health","9":"tag-healthcare","10":"tag-il","11":"tag-israel"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/118732","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/comments?post=118732"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/118732\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media\/118733"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media?parent=118732"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/categories?post=118732"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/tags?post=118732"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}