CityMD strikes deal to stay in-network with UnitedHealthcare

CityMD has grown quickly over the past two years—it now counts over 120 locations in New York, New Jersey and Washington. (Jim.henderson/CC0)

Urgent care firm CityMD has reached a last-minute contract to stay in UnitedHealthcare's network, curtailing the possibility that some of the firm's patients would face higher costs or need to find another provider.

As 2018 came to a close, it seemed likely CityMD might not reach a deal in time. Their agreement was set to expire on Dec. 31, and by the end of November UnitedHealthcare was warning members of the possibility.

But on Jan. 2, CityMD appeared to announce on Twitter that it had reached an agreement after all. The chain later confirmed in a statement emailed to FierceHealthcare that it would remain in-network for 2019.

Conference

2019 Drug Pricing and Reimbursement Stakeholder Summit

Given federal and state pricing requirements arising, press releases from industry leading pharma companies, and the new Drug Transparency Act, it is important to stay ahead of news headlines and anticipated requirements in order to hit company profit targets, maintain value to patients and promote strong, multi-beneficial relationships with manufacturers, providers, payers, and all other stakeholders within the pricing landscape. This conference will provide a platform to encourage a dialogue among such stakeholders in the pricing and reimbursement space so that they can receive a current state of the union regarding regulatory changes while providing actionable insights in anticipation of the future.

"We are pleased to have reached an agreement with UnitedHealthcare that ensures that all 120+ CityMD locations will remain fully in-network for UHC members in 2019. Our agreement ensures that UHC's members can continue to rely on CityMD for high-quality, affordable, and convenient care throughout the metro NY area," wrote Angela Profeta, senior vice president of strategy at CityMD.

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CityMD is one of the fastest-growing urgent care chains in New York City, so United and Oxford Health members in the area were understandably concerned about losing access to their clinics. On Nov. 26, 2018, United sent a letter to members warning them of the potential disruption in their care.

"Utilizing an out-of-network provider may result in higher costs for you," United wrote in the letter, according to Crain's New York Business News. "Unfortunately, we have not yet reached an agreement with them, and the deadline for the contract is rapidly approaching."

Oxford Health Plans insures half of New York's small-group market, so letting the contract lapse could have had major impacts in the city.

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