When it comes to health insurance, "in-network" means a provider or facility that's contracted with your insurer to provide services at an agreed-upon rate. "Out-of-network" means a provider or facility that doesn't have an agreement with your insurer. Whether in-network or out-of-network providers and facilities are covered, and to what extent, depends on your particular health insurance plan.
The public comment period has ended and now the Rhode Island health department must decide whether United Healthcare can cut Landmark Medical Center from its insurance network. The decision could affect thousands of patients.
California-based Prime Healthcare Services won approval earlier this week to buy Woonsocket’s Landmark Medical Center. But the approval came with conditions. One is that the company keep Rhode Island regulators abreast of a federal investigation it’s under for allegedly over-billing Medicare. Another is that Prime invest in primary care and in preventing hospital re-admissions. The Department of Health expressed some concern about Prime’s practices at other hospitals, but department head Michael Fine said the terms of the deal to acquire Landmark should allay those concerns.
Woonsocket’s Landmark Medical Center is about to turn the page on a long and challenging chapter in its history. The struggling hospital has received regulatory approval to be acquired by a for-profit hospital chain called Prime Healthcare. That means an end to five years of uncertainty for employees, patients, and the community.
Today is the deadline for state regulators to decide whether an out-of-state hospital chain can acquire Woonsocket's Landmark Medical Center. The decision will mark the end of five years of uncertainty for the struggling hospital.
Landmark has been in receivership, a kind of bankruptcy, since 2008. It's flirted with several different potential buyers who got cold feet for one reason or another and pulled out. It's battled the state's largest insurer, Blue Cross and Blue Shield of Rhode Island, for higher payments.
State agencies are allowing more public comment, until October 7, on the proposed sale of Woonsocket’s Landmark Medical Center to a for-profit chain as the deadline for a decision on the deal approaches.
Though previous deals have fallen through, Woonsocket officials are still hopeful about a yes vote.
Rhode Island regulators have deemed Prime Healthcare’s application to buy Woonsocket’s Landmark Medical Center complete.
Now the Attorney General and Department of Health can begin their official review of California-based Prime Healthcare’s bid to buy the troubled community hospital. That review begins July 1st and ends October 28th under Rhode Island’s Hospital Conversion Act.
Been wondering what's happening with Landmark Medical Center? So has Woonsocket's mayor, Leo Fontaine. He wrote a letter to Governor Lincoln Chafee, pleading with him to weigh in on the process, use his influence to somehow resolve it. Problem is, regulators say that won't help.
Here are excerpts of the mayor's letter to the governor, a copy of which he apparently emailed to several newsrooms, but not to the primary regulators involved in approving or denying Prime Healthcare's application to buy to Landmark Medical Center:
Blue Cross and Blue Shield of Rhode Island is responding to a lawsuit claiming that it stymied Steward Health Care’s bid to acquire Landmark Medical Center in Woonsocket.
Steward is the Massachusetts-based, for-profit health care chain that tried to acquire Landmark, which has been in receivership for several years. Steward filed suit in Superior Court this week claiming Blue Cross thwarted those plans purposefully to maintain what Steward calls an unlawful monopoly on commercial insurance and hospital services.