Citing ‘denials, delays,’ Baptist Health ends contracts with two more Medicare Advantage carriers

Many Kentuckians are ‘captive customers,’ will have to pay more or change medical providers

By: Deborah Yetter – January 23, 2024

A stalemate between one of Kentucky’s largest health care providers and three major health insurers is affecting thousands of Kentucky retirees enrolled in Medicare Advantage plans.

Baptist Health last fall ended its contract agreement with Humana for physician services covered by Medicare Advantage, the Kentucky Lantern reported in October. That means doctors’ visits are considered “out of network” and patients would have to pay more for services.

And effective Jan. 1, Baptist also ended agreements with United HealthCare and Wellcare for Medicare Advantage coverage for services including physician and hospital care — meaning all such care is considered out of network.

Baptist has cited denials of care and delays in payment which the Medicare Advantage companies dispute.

Full article: https://kentuckylantern.com/2024/01/23/citing-denials-delays-baptist-health-ends-contracts-with-two-more-medicare-advantage-carriers/