contentious negotiations

Mercy Health seeks more reimbursement or plans to end Medicaid contract with Anthem

Mercy Health Jewish Hospital located in Kenwood.

Mercy Health Jewish Hospital located in Kenwood.

Bon Secours Mercy Health plans to terminate a Medicaid insurance contract with Anthem Blue Cross Blue Shield that covers 10,000 Ohioans unless the parties renegotiate a new contract by June 30.

The two companies currently have a contract that runs through 2024 to provide Medicaid insurance to patients at Mercy’s 21 hospitals in Ohio. But the health system has notified its patients if a new “fair” agreement isn’t made before June 30, Mercy’s Ohio hospitals will no longer be in-network for patients who receive Anthem’s Managed Medicaid the next day.

A representative for Mercy Health declined an interview request but in a statement, the company cited a 6.8% increase of operating expenses from 2021 to 2022 as reason for the need to renegotiate some of its contracts.

“Mercy Health contracts with health insurance companies (private payers), such as Elevance Health (otherwise known as

Read the rest