Hospital demands exclusivity in Humana's network

After contract negotiations broke down last month between Humana and the Charleston Area Medical Center (CAMC), the insurer said it was primarily because CAMC wanted to be the only Charleston, W.Va.-area hospital in Humana's network, reported The Charleston Gazette. CAMC allegedly demanded that Humana drop Thomas Memorial and St. Francis hospitals or it would end the payer-provider contract. "CAMC made it clear their goal in negotiations with Medicare Advantage payers is to direct and steer volume to their facilities," said Jeff Blunt, a regional spokesman for Humana. "This is best achieved when they are the only participating hospital system in the network," he said. CAMC told Humana it would leave its network next year. Article

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