Florida Blue

If an impasse continues, Cleveland Clinic could be the third health system in Broward County to go out of network for Florida Blue members. But is the contract deadline in March or May?

Broward Health and Memorial Healthcare System, which operate a total of 11 hospitals, have launched 22 Health, which offers plans to county residents.

The new deal, reached as the previous one expired, resolves contract uncertainty and protects most customers from higher out-of-network costs.

A judge is scheduled to consider a bid from a Humana subsidary during a hearing this week. Meantime, there are allegations of Medicare overbilling by TVH and conflicts of interest involving its debt financier.

The split affects Florida Blue’s employer-sponsored plans, Affordable Care Act marketplace coverage, Medicare Advantage, and members of other Blue Cross Blue Shield plans, including Anthem and Elevance.

The insurer has notified about 31,000 clients they may lose in-network access to the Broward health network if a new deal isn't reached by Sept. 1. For now, no appointments after that date are being made.

The dispute over Broward Health's reimbursment demands continues after the previous contract ended Tuesday. Florida Blue said more than 17,000 customers have been notified of the change.

In the federal lawsuit, the insurer claims the HHS and CMS quality ratings didn’t properly take into account disruptions caused by major flooding in 2023 in Broward County.

Details of the insurance agreement is starting to come into focus for Northeast Florida patients. Meantime, an impasse remains in negotiations between United Healthcare and UF Health.

Florida Blue and NCH were able to come to a multiyear hospital-insurer agreement that will keep the Naples-based health system's doctors, hospitals and practices in-network for about 40,000 patients.

Naples-based NCH may be considered out of network at the end of September if the two parties can’t come to an agreement.

A survey by Florida Blue shows the main reason people give for not enrolling in a health plan in Florida is the perceived high cost of insurance.