As of July 1, 2016, all Piedmont facilities (except Piedmont Newton) and the 1,400 Piedmont Clinic Physicians are out of network and we expect to remain without a contract with United. This means that patients with a United commercial health plan, including United plans offered through the Georgia Health Insurance Marketplace, will have to pay more out-of-pocket costs or travel further for healthcare services.
This contract expiration does not apply to members with a Medicare, Medicare Supplemental or Medicare Advantage health plan.
It’s important to know that our Piedmont Newton facility contract will expire on January 31, 2017. That means our Piedmont Newton facility will continue to be an in-network provider, and United members can continue to receive in-network care, through January 31, 2017.
Despite the fact that we began our discussions with United in November 2015 and have continued to fight for our patients’ in-network access to care at Piedmont, we do not see any path to resolution. What United has proposed doesn’t take into consideration the best interest of our patients and the communities we serve. We’ve been serving our communities for decades—some more than 100 years—and we won’t agree to anything that places the needs of United’s shareholders in front of the needs of our patients.
It has been proven that when we work collaboratively with insurance companies, collectively we can reduce the total cost of care. Piedmont physicians care for some of the sickest patients, and even then, we have proven our ability to lower the cost of healthcare when insurance companies are willing to work with us.
According to independent data provided by our other payors, when working collaboratively, the Piedmont Clinic is 6% less expensive than the market average in terms of healthcare costs while treating a sicker patient population.
Atlanta has great healthcare options, but none excel in more areas than Piedmont. Among Piedmont’s high-quality, patient-centered care are:
- Comprehensive cancer services, as the only certified member in Georgia of MD Anderson Cancer Network®, a program of The University of Texas MD Anderson Cancer Center.
- Nationally recognized cardiovascular care with a Level I Cardiovascular Center, Piedmont’s Marcus Heart Valve Center and partnership with Cleveland Clinic, the nation’s #1 heart program.
- Some of the best patient outcomes in the nation for transplantation. The number of transplants performed at Piedmont Transplant Institute per year ranked in the top 15% of U.S. abdominal transplant programs.
- Level III Neonatal Intensive Care
- More than 2,600 medical staff physicians including 1,400 Piedmont Clinic physicians in our community.