{"id":53439,"date":"2025-08-01T21:24:11","date_gmt":"2025-08-01T21:24:11","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/53439\/"},"modified":"2025-08-01T21:24:11","modified_gmt":"2025-08-01T21:24:11","slug":"should-northern-light-health-patients-with-anthem-insurance-be-concerned","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/53439\/","title":{"rendered":"Should Northern Light Health patients with Anthem insurance be concerned?"},"content":{"rendered":"<p class=\"text | article-text\">PORLTAND, Maine (WMTW) &#8211; Medical care for thousands of Mainers remains uncertain as Northern Light Health and Anthem Blue Cross and Blue Shield continue contract negotiations <a href=\"https:\/\/www.wmtw.com\/article\/get-the-facts-should-northern-light-health-patients-with-anthem-insurance-be-concerned\/65555283\" target=\"_blank\" rel=\"noreferrer nofollow noopener\" title=\"https:\/\/www.wmtw.com\/article\/get-the-facts-should-northern-light-health-patients-with-anthem-insurance-be-concerned\/65555283\">with just one month left before their current agreement expires.<\/a><\/p>\n<p class=\"text | article-text\">If the two sides fail to reach a deal by Sept. 30, Anthem-insured patients may be forced to seek care outside the Northern Light Health system.<\/p>\n<p class=\"text | article-text\">At the heart of the disagreement is reimbursement: the amount Anthem pays Northern Light for patient care. The hospital system says reimbursement rates need to increase to keep pace with inflation, while Anthem claims Northern Light is seeking a 30% price increase over three years \u2014 a rate the insurer says exceeds what other Maine hospital systems charge.<\/p>\n<p class=\"text | article-text\">Contract disputes between health systems and insurers are not uncommon in Maine. In 2022, <a href=\"https:\/\/www.wmtw.com\/article\/mainehealth-announces-contract-termination-with-anthem\/39654813\" rel=\"nofollow noopener\" target=\"_blank\">MaineHealth announced plans<\/a> to end its contract with Anthem over similar reimbursement concerns, though <a href=\"https:\/\/www.wmtw.com\/article\/agreement-reached-maine-medical-center-anthem-subscribers\/40923986\" rel=\"nofollow noopener\" target=\"_blank\">both parties ultimately reached an agreement<\/a> before patients were affected. The following year, Covenant Health <a href=\"https:\/\/www.wmtw.com\/article\/maine-health-insurance-provider-maine-hospital-system-deal\/44451062\" rel=\"nofollow noopener\" target=\"_blank\">finalized its deal<\/a> with Anthem on the same day its contract was set to expire.<\/p>\n<p class=\"text | article-text\">As negotiations continue, no immediate action is required from patients. <\/p>\n<p class=\"copyright |\">Copyright 2025 WABI. All rights reserved.<\/p>\n","protected":false},"excerpt":{"rendered":"PORLTAND, Maine (WMTW) &#8211; Medical care for thousands of Mainers remains uncertain as Northern Light Health and Anthem&hellip;\n","protected":false},"author":2,"featured_media":53440,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[40745,40746,40747,97,252,9041,253,40744],"class_list":["post-53439","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-anthem","tag-blue-cross","tag-blue-shield","tag-health","tag-health-care","tag-health-insurance","tag-healthcare","tag-northern-light-health"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/53439","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=53439"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/53439\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/53440"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=53439"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=53439"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=53439"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}