Anthem BCBS and Mount Sinai Come to Multi Year Agreement
The new contract ensures renewed access to Mount Sinai hospitals and physicians, with physicians in-network effective January 1, 2026, and facilities in-network as of March 4, 2026. It provides predictable unit cost trends and network stability through 2028, and reflects a strong balance of access, quality, and value for your clients.
Importantly, we secured payment increases aligned with CPI and Hospital CPI and incorporated value-based-reimbursement incentives tied to quality improvement and total cost of care. Just as critical, we preserved key protections for employer-sponsored plans, including claims audit rights, itemized billing requirements for high-cost services, and the ability to review medical records prior to payment.
The agreement also maintains important cost-control tools, prevents excessive price increases, and provides long-term predictability for employers and their employees.
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