Hospital District, Insurer Reach Tentative Medi-Cal Deal
Palomar Pomerado Health and Health Net have "agreed in principle" on the portion of their contract regarding Medi-Cal after the previous agreement ended March 1, PPH Director of Managed Care Margie Drobatschewsky said, the North County Times reports.
Health Net spokesperson Brad Kieffer said officials expect a final agreement to be reached "in the very near future." He said about 2,000 to 3,000 area residents are enrolled in Health Net's Medi-Cal plan.
PPH will continue to treat and seek reimbursement for Health Net's Medi-Cal members who need emergency treatment. Those who do not need emergency care will be directed to other hospitals until the agreement is finalized.
PPH and Health Net declined to disclose the terms of the deal, but Kieffer said reimbursement rates were among the issues discussed during contract negotiations (Moss, North County Times, 4/13).