Anthem

The retroactive clause means care delivered since Nov. 1 will be treated as in-network for Anthem members.

Patients who are Anthem customers can continue to receive care with Northern Light and won’t be treated as out of network, said Northern Lights president and CEO.

As a result of the extension, Northern Light physicians and medical providers will remain in-network with Anthem employer-sponsored and individual health plans through Oct. 31, rather than Oct. 1.

After bumpy mediation talks last week, the organizations issued separate accusatory statements. Each vowed to return to the table.

If the two organizations are unable to agree to terms, Northern Light will be out of network with Anthem.

The agreement includes improved rates and less need for prior approval for in-patient treatment, and is a “more efficient and cost-effective” to receive and deliver care, said Northern Light’s CFO.

Factors included inadequate reimbursements and cumbersome processes, according to Northern Light. Anthem said it will keep lines of communication open.

Negotiations with Anthem insurance over reimbursement levels are at a standstill. Unless contract terms are settled by Sept. 30, Northern Light will no longer be in-network with the insurer.

From reducing injuries to ensuring impactful and inclusive wellness strategies, panelists offered several actionable steps for employers.

Factors pushing rates up include higher prices from hospitals and health care providers, accelerating prescription drug costs and greater utilization of services.