{"id":76694,"date":"2025-10-15T17:53:07","date_gmt":"2025-10-15T17:53:07","guid":{"rendered":"https:\/\/www.newsbeep.com\/il\/76694\/"},"modified":"2025-10-15T17:53:07","modified_gmt":"2025-10-15T17:53:07","slug":"mobiles-providence-hospital-warns-of-imminent-breakdown-with-unitedhealthcare","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/il\/76694\/","title":{"rendered":"Mobile&#8217;s Providence Hospital warns of imminent breakdown with UnitedHealthcare"},"content":{"rendered":"<p class=\"article__paragraph article__paragraph--left\" id=\"GRW6UE4XKFDLHMXPKTF33VHEB4\">A major south Alabama health care system warns that patients insured through UnitedHealthcare could be a month away from losing in-network coverage.<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"OMKHJLQTNFAYNLPIAJSLP6IPIQ\">USA Health, a multi-hospital system affiliated with the University of South Alabama, said Wednesday that contract negotiations between USA Health Providence Hospital and UnitedHealthcare are approaching a Nov. 14 deadline. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"Q5XDBLWVAJHSLLIXTFGDCTZVPI\">The warning does not apply to USA Health University Hospital and USA Health Children\u2019s &amp; Women\u2019s Hospital. Providence Hospital in west Mobile originally was a Catholic institution that later was part of the Ascension healthcare network. <a href=\"https:\/\/www.al.com\/news\/mobile\/2023\/10\/major-hospital-deal-sealed-in-mobile-providence-now-part-of-usa-health.html\" target=\"_blank\" rel=\"nofollow noopener\">USA Health took over Providence in October 2023.<\/a><\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"X55ZNLSVJ5CXJP4JWCQL7QXMY4\">\u201cFor many months, USA Health has worked to reach a fair agreement with UnitedHealthcare so that patients can continue accessing care without disruption,\u201d said the USA Health statement. \u201cUnfortunately, despite USA Health\u2019s best efforts, an agreement has not been reached.<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"63TD2I6W3ZEGNAXR3MGJKUVNHQ\">\u201cPatients with UnitedHealthcare insurance will continue to have in-network coverage for Providence Hospital services through Nov. 14,\u201d continued the statement. \u201cIf an agreement is not reached, UnitedHealthcare members who seek care at Providence Hospital will be responsible for paying out-of-network costs starting Nov. 15.\u201d The statement said this would apply to both employer-sponsored commercial plans and Medicare Advantage plans.<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"DBRJRNATS5AWVGIFSXAK3TVBDE\">A request for comment from UnitedHealthcare was pending as this story was published. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"2MKOTNXNHBAJ3I3YCFVYO7XZHY\">USA Health\u2019s statement suggested that potentially affected patients could use a current open enrollment period to change their coverage; changes would take effect Jan. 1, it said.<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"ZZ5SIUUUJRCWHM3X4O5L6BBYWI\">\u201cOur goal has always been to remain in network and for our patients to be able to see the providers they know and trust at USA Health Providence Hospital without interruption,\u201d said Natalie Fox, DNP, PNP-BC, interim CEO of USA Health. \u201cUnfortunately, UnitedHealthcare\u2019s approach to contract negotiations has so far made this effort unsuccessful, as it has in other markets. We are very saddened by the uncertainty this creates for our patients and UnitedHealthcare customers.\u201d<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"NASMY7OOI5ANVLOTAVZIJ22IIU\">In October 2024, Huntsville Hospital Health System announced that it had sent <a href=\"https:\/\/www.al.com\/news\/2024\/10\/huntsville-hospital-terminates-participation-agreement-with-insurance-giant.html\" target=\"_blank\" rel=\"nofollow noopener\">a notice of termination<\/a> to the insurer after \u201cseveral months of disappointing negotiations;\u201d a month later, just before the termination actually took effect, <a href=\"https:\/\/www.al.com\/news\/2024\/11\/huntsville-hospital-reaches-in-network-status-agreement-with-insurance-giant-after-months-of-negotiations.html\" target=\"_blank\" rel=\"nofollow noopener\">a new agreement was announced<\/a>. Birmingham-based UAB Health System had <a href=\"https:\/\/www.al.com\/news\/2025\/06\/uab-may-soon-stop-accepting-unitedhealth-insurance-blaming-high-denials-and-low-pay.html\" target=\"_blank\" rel=\"nofollow noopener\">a similar dispute<\/a> in June but <a href=\"https:\/\/www.al.com\/news\/2025\/07\/uab-reaches-tentative-deal-to-continue-accepting-unitedhealthcare-insurance.html\" target=\"_blank\" rel=\"nofollow noopener\">struck a tentative deal<\/a> as the deadline loomed at the end of July and <a href=\"https:\/\/www.al.com\/news\/2025\/08\/uab-unitedhealthcare-finalize-multi-year-agreement.html\" target=\"_blank\" rel=\"nofollow noopener\">announced a new multi-year agreement in August.<\/a> Mobile-based Infirmary Health System previously went through a similar process in summer 2024.<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"TLDMQHQOIRFNJPTTVABVZLBYGQ\">USA Health directed patrons affected by the potential change to an information page at <a href=\"http:\/\/www.usahealthsystem.com\/united\" target=\"_blank\" rel=\"nofollow noopener\">www.usahealthsystem.com\/united<\/a>. <\/p>\n<p>If you purchase a product or register for an account through a link on our site, we may receive compensation. By using this site, you consent to our <a href=\"https:\/\/www.advancelocal.com\/advancelocalUserAgreement\/user-agreement.html\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">User Agreement<\/a> and agree that your clicks, interactions, and personal information may be collected, recorded, and\/or stored by us and social media and other third-party partners in accordance with our <a href=\"https:\/\/www.advancelocal.com\/advancelocalUserAgreement\/privacy-policy.html\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Privacy Policy.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"A major south Alabama health care system warns that patients insured through UnitedHealthcare could be a month away&hellip;\n","protected":false},"author":2,"featured_media":76695,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[163,521,85,46],"class_list":["post-76694","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-health","tag-healthcare","tag-il","tag-israel"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/76694","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=76694"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/76694\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media\/76695"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media?parent=76694"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/categories?post=76694"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/tags?post=76694"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}