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| lite.cnn.com - on gopher - inofficial | |
| ARTICLE VIEW: | |
| Insurer and cancer center reach agreement in contract dispute that left | |
| thousands of patients in limbo | |
| By Brenda Goodman, CNN | |
| Updated: | |
| 9:14 AM EDT, Tue July 1, 2025 | |
| Source: CNN | |
| Tuesday morning, the nation’s largest insurance company, | |
| UnitedHealthcare and Memorial Sloan Kettering Cancer Center they had | |
| reached a multi-year agreement that will allow some 19,000 | |
| UnitedHealthcare and Oxford health plan customers to remain in-network | |
| for their cancer care. | |
| The insurer and cancer center had been locked in a tense contract | |
| dispute. Negotiations went past a June 30 deadline, leaving many | |
| patients scrambling to find alternative coverage or care options. | |
| One of them was Marla Puccetti, who said she spent all day Monday on | |
| the phone, urgently trying to reach someone at her health insurance | |
| company and the hospital that’s treating her cancer. | |
| “I’ve been on hold all day long, basically,” said Puccetti, 53, | |
| who co-owns a restaurant with her partner in Narrowsburg, New York. | |
| Puccetti doesn’t have out-of-network coverage on her current plan, so | |
| she would have had to pay the full cost of her care, which she can’t | |
| afford. But going anywhere but MSK for her treatment seemed | |
| unthinkable. | |
| “It’s terrifying. I don’t want to go anywhere else,” she said. | |
| “All of my doctors are there. All of my surgeons are there. I feel | |
| like they saved my life.” | |
| ‘It all came as a shock’ | |
| The insurer and the cancer center, which has locations in New York | |
| City, New York state and New Jersey, had been in tense contract | |
| negotiations over rate increases that MSK said it needed to keep up | |
| with the cost of care. | |
| UnitedHealthcare said MSK asked for a 30% increase in payments for its | |
| facilities and physicians, as well as a 36% increase for its cancer | |
| center. The insurer said the increases would drive up costs for | |
| consumers by $405 million over the next two years. | |
| The insurer and cancer center didn’t announce the final terms of the | |
| new contract. | |
| “We understand how difficult and deeply personal this negotiation has | |
| been for people and their families,” Junior Harewood, | |
| UnitedHealthcare CEO, New York, said. “We are pleased to renew our | |
| relationship and provide continued access to MSK for the people who | |
| rely on them for quality cancer care.” | |
| The insurer had said it already reimburses MSK at rates significantly | |
| higher than other systems specializing in cancer care in the region. | |
| Dr. Cardinale Smith, chief medical officer for MSK, disputed the idea | |
| that the cancer center is driving up the cost of care for patients. She | |
| said Monday its cost of care is actually 4% to 16% lower than at | |
| comparable hospitals in the area. | |
| “Our patients are getting better outcomes for total lower cost of | |
| care,” Smith said. | |
| UnitedHealthcare is the nation’s largest insurer, and Smith said hers | |
| isn’t the only system that was being squeezed in contract | |
| negotiations with them. | |
| “This is happening in other institutions as well, and it reflects | |
| what I think is a deeper tension in our health care system where there | |
| are financial priorities that are really being placed ahead of what’s | |
| best for patients,” Smith said. | |
| Puccetti, the MSK patient, was diagnosed with breast and then cervical | |
| cancer just a few weeks apart in 2021. After a mastectomy and a | |
| hysterectomy, her breast cancer is in remission, but her cervical | |
| cancer has been tougher to snuff out. It has returned three times. She | |
| has tallied 60 rounds of radiation and 100 rounds of chemotherapy and | |
| has lost her hair three times. | |
| Her tumor is in a bad spot, she says, attached to both her bladder and | |
| her bowel. Doctors said they could remove it surgically, but it would | |
| leave her dependent on bags hanging outside her body to collect urine | |
| and stool for the rest of her life, a situation she found untenable. | |
| Now, she’s on an immunotherapy drug that helps her body recognize and | |
| attack the cancer, with a goal of keeping it stable. She has been | |
| making the two-hour trip from her home in upstate New York to MSK about | |
| once a week for the past few months for tests to help doctors keep tabs | |
| on the tumor. | |
| She got a letter just two weeks ago from UnitedHealthcare that said MSK | |
| might not be in her network starting July 1. | |
| “It all came as a shock that this was actually happening,” she said | |
| Monday. | |
| Patients caught in the middle | |
| Until Tuesday’s announcement of a new agreement, thousands of | |
| patients had been left uncertain about whether they would be able to | |
| afford to continue their care at MSK. | |
| Puccetti said she was researching other coverage options. Her | |
| UnitedHealthcare plan costs $3,200 a month and provides some coverage, | |
| but she still owes “thousands and thousands” in out-of-pocket | |
| costs. | |
| Through it all, she’s worked full-time at the restaurant, cooking, | |
| tending bar, keeping the books. | |
| She applied for financial aid through Memorial Sloan Kettering but | |
| hasn’t heard whether she qualifies. | |
| “Everyone kept saying, ‘well, don’t panic, because they’re | |
| going to come to a resolution.’ So I tried not to panic, but how can | |
| you not?” she said. | |
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