Johns Hopkins, United Healthcare are Parting Ways - Includes Medicare and Medicaid Advantage plans

GailL1 — Fri, 19 Sep 2025 18:44:19 GMT

Fierce Healthcare.com 09/17/2025 - Johns Hopkins, UnitedHealthcare officially end talks after failing to come to terms on new contract

Negotiations went nowhere so they are ending it -

from the link [copy paste]

Hopkins providers have been out of UnitedHealthcare’s network for an estimated 60,000 patients, mostly in Maryland, but also in Washington, D.C., and Virginia, since Aug. 25, the Baltimore Banner reported.

Those 60,000 patients will have to find new providers or pay higher out-of-pocket costs to continue to see their doctors and get care at Johns Hopkins hospitals.

Johns Hopkins Medicine spans more than 50 total care locations, including six hospitals, and serves patients in Maryland, Virginia, Washington, D.C. and Florida.

Both parties are warning patients that Johns Hopkins’ hospitals and other facilities are now out of network for enrollees in UHC’s employer-sponsored commercial plans, Individual Family Plan, Medicaid and Medicare Advantage plans, including Dual Special Needs Plan and Group Retiree. Johns Hopkins physicians, who only participated in UHC’s employer-sponsored commercial plans, are also now out of network.

Johns Hopkins All Children’s Hospital, in Florida, remains in network.

Any UnitedHealthcare member that was already approved for transplant services at Johns Hopkins at the time they went out of network will continue to have in-network access for those services at Johns Hopkins, UHC said.

Patients in active or ongoing treatment for a serious or complex condition with a Johns Hopkins provider at the time it left the UHC network are eligible to continue care for a period of time at in-network costs. Continuity of care allows patients to continue accessing care with their provider at in-network rates for a minimum of 90 days, though it could be longer depending on the course of their treatment, the insurer said.

Conditions that would be eligible for continuity of care include people in active treatment for cancer and women who are pregnant

topic Johns Hopkins, United Healthcare are Parting Ways - Includes Medicare and Medicaid Advantage plans in Medicare & Insurance

Johns Hopkins, United Healthcare are Parting Ways - Includes Medicare and Medicaid Advantage plans