Author: Beverly K. Philip MD FACA, FASA
President of ASA
Monday Morning Outreach
- 73% reported a termination mid-contract within the last year
- 54% said an insurance carrier notified them of a non-renewal within the last year
- 53% had an insurance carrier lower their contract rate mid-contract within the last year
- 52% said an insurance carrier lowered their contract rate at renewal of the contract
- 70% faced a situation in which a payor gave an ultimatum between accepting a rate reduction or forcing a contract termination prior to the end of a contract
- “We have been approached by insurers in multiple markets looking to reduce our rates. Policy changes in the Midwest market are also reducing how CRNAs are paid.”
- “An insurance company is changing to the CMS method for time calculation, which in effect lowers our rate by 4%.”
- “An insurance company terminated our agreement mid-contract and demanded a 30% rate cut to renew and continue. This during COVID when they (along with all carriers) were making record profits and we were among the front-line workers for lines and airway management.”
- “They are aggressively drawing a line on an Excel spreadsheet and eliminating the top 1/3 of their contracts. This is not only in anesthesia, but also ER, radiology, and pathology. We need to coalesce with these groups and fight back.”
- “In the midst of contract negotiations in which the insurer demanded a 50% reduction in reimbursement, they abruptly cancelled the contract and declared us out of network in a unilateral decision.”
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