Monday
June 21, 2010

 

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Crystal Run Healthcare cans Aetna

WALLKILL – Group medical practice Crystal Run Healthcare Monday said effective July 31, 2011, it would terminate its physician group agreement with Aetna, Inc. after being unable to arrive at a mutually acceptable agreement.

Patients who have Aetna coverage are being notified by letter so they can make any appropriate arrangements concerning their healthcare coverage.

“Aetna proposes to pay us significantly less than other commercial health care plans with whom we contract,” said Crystal Run Managing Partner Dr. Hal Teitelbaum. “Despite good faith efforts, we cannot come to an agreement at this time.”

“We think it is extraordinary that a responsible physician group would alarm patients in this manner more than a year before there could be any impact to those patients. There is ample opportunity for both sides to negotiate and Aetna is engaged in that process in good faith,” said Aetna spokeswoman Susan Millerick.

“"However, Crystal Run is seeking unreasonable and unrealistic rate increases at levels that far exceed the revenue growth of most businesses in the area," she said. "Our offer includes a fair increase for Crystal Run, but they are demanding a 50 percent increase over their current rates, which is unrealistic.”

Millerick said they hope to continue negotiations “that will meet our customers' needs for access to quality care at affordable prices.”

Crystal Run is notifying the State Health and Insurance departments of the termination of the physician group agreement.


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