MCO Hospital Negotiations Jefferson Health Systems Lehigh Valley Health Network St. Joseph's Reading West Virginia University An

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MCO Hospital Negotiations Jefferson Health Systems Lehigh Valley Health Network St. Joseph's Reading West Virginia University An

MCO Hospital Negotiations Jefferson Health Lehigh Valley St. Joseph's West Virginia Systems Health Network Reading University Anticipated Contract 3/31/2013 3/31/2013 3/31/2013 3/31/2013 Termination Date MCOs affected by the Keystone Mercy Health AmeriHealth Mercy United Health Care United Health Care contract Plan Health Plan Hospitals affected by Bryn Mawr Hospital and Lehigh Valley Hospital, St. Joseph's Medical WVU Hospitals the contract Rehab, Lankenau, Methodist, Muhlenberg Hospital Center Paoli, Riddle Memorial, Thomas Jefferson University Hospital and Magee Rehab County affected Philadelphia and Delaware Lehigh, Northampton Berks Greene, Washington, Fayette Total number of 23,532 27,885 2,811 1,636 unduplicated members Number of members TBD TBD 12 26 with open prior-auths at the hosp. Number of members 2,155 TBD 1,763 692 assigned to a hospital owned PCP Number of members 23,999 15,342 TBD TBD assigned to an affiliated PCP 1 12/10/2012 MCO Hospital Negotiations Jefferson Health Lehigh Valley St. Joseph's West Virginia Systems Health Network Reading University Hospitals that will be Pennsylvania, Hahnemann, St. Lukes Hospital, Sacred Reading Hospital Washington Hospital, SW geographically St. Josephs (NPHS), Heart Regional, Uniontown available to members Kensington, Good Shepherd, CHOP, HUP, Presbyterian, after the termination Temple, ST. Christopher's , Einstein (Elkins Park), Moss Rehab, Mercy Philadelphia What other MCOs Coventry Cares Aetna, Gateway, United AMHP, Gateway, UPMC None have this hospital in their network? Date (or proposed 2/26/2013 2/26/2013 2/26/2013 2/26/2013 date) that termination notification letters sent to members Additional comments: KMHP has a verbal extension Lehigh Valley and AMHP Plan initiated termination; Plan initiated termination; with Jefferson until 3/31/13, extended the contract to ongoing negotiation. ongoing negotiation. and the extension letter is 3/31/13 while working to with Jefferson for signature. finalize an acceptable agreement. 2 12/10/2012.

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