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RAPID ASSESSMENT

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Amy Umble is health reporter for The Free Lance-Star

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Spotsy hospital not yet part of Anthem’s network

An impasse in their negotiations raises the possibility that the Spotsylvania Regional Medical Center will not be a member of Anthem’s provider network when the hospital opens Monday.

 The two sides said this afternoon that they are talking and that both want to reach a deal. So far, however, they have been unable to agree on the reimbursements that Anthem will pay to the hospital when it treats an Anthem customer.

“We have already agreed to accept the very same reimbursement rates that exist in the market,” said Tim Tobin, the hospital’s CEO. “If Anthem is willing to accept those terms it solves the problem.”

 Scott Golden, Anthem spokesman, described the deadlock differently. “We just haven’t come to an agreement based on some of the reimbursements that they’re requesting that we feel are not consistent with other comparable hospitals in the Fredericksburg area,” he said.

 Asked if Spotsylvania Regional was asking for higher rates than those Anthem pays Mary Washington Hospital, Golden replied yes. He added, “At this point it doesn’t make sense for us to participate in something that’s going to drive up health care costs for the people in Fredericksburg.”

Both sides said that a deal could be reached by Monday when the hospital opens to the public.

(For more details about the negotiations, see the story in tomorrow’s paper.)

Permalink: http://news.fredericksburg.com/rapidassessment/2010/06/03/anthem-spotsy-hospital-deadlocked/

  • Pamela

    Maybe they think income is higher in Spotsylvania???