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UnitedHealthcare and Northwestern Medical Group …

Q1: Will Northwestern Medical Group (NMG) no longer participate in UnitedHealthcare s network beginning Jan. 1, 2019? We are currently in negotiations with NMG to renew its physician contract. If an agreement cannot be reached, the providers affiliated with NMG will no longer be in network beginning Jan. 1, 2019. Northwestern s seven hospitals are not affected by this negotiation, nor is Northwestern Regional Medical Group and Kishwaukee physician Group . Q2: Which UnitedHealthcare plans are affected by the negotiations? We are negotiating our UnitedHealthcare employer-sponsored, individual and medicare advantage benefit plans.

Regional Medical Group and Kishwaukee physician group. Q2: Which UnitedHealthcare plans are affected by the ... for commercial and Medicare Advantage plans beginning ...

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Transcription of UnitedHealthcare and Northwestern Medical Group …

1 Q1: Will Northwestern Medical Group (NMG) no longer participate in UnitedHealthcare s network beginning Jan. 1, 2019? We are currently in negotiations with NMG to renew its physician contract. If an agreement cannot be reached, the providers affiliated with NMG will no longer be in network beginning Jan. 1, 2019. Northwestern s seven hospitals are not affected by this negotiation, nor is Northwestern Regional Medical Group and Kishwaukee physician Group . Q2: Which UnitedHealthcare plans are affected by the negotiations? We are negotiating our UnitedHealthcare employer-sponsored, individual and medicare advantage benefit plans.

2 Q3: What happens if an agreement cannot be reached? We continue to work with NMG and remain hopeful the system will decide to renew its participation in our network. If we cannot reach an agreement, NMG will no longer be in-network for commercial and medicare advantage plans beginning Jan. 1, 2019. Q4: What will happen to patients currently receiving care with an NMG physician? If we are unable to reach an agreement over the next few months, our team of nurses and Medical directors will work directly with NMG to review any Continuity of Care needs for UnitedHealthcare members. Examples of acute or serious Medical conditions that may qualify for Continuity of Care include: Complex or chronic Medical conditions Individuals who are pregnent Individuals with a terminal illness Individuals with cancer or in active chemotherapy Q5: Is it common for UnitedHealthcare to have disputes in renewing its contracts with participating providers?

3 Contract negotiations between health care providers and health insurance companies are a normal and routine part of business to ensure we provide members access to local quality care without significantly raising the cost of health care. # # # UnitedHealthcare and Northwestern Medical Group in Active Negotiations Q&A


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