Anthem and Maine Medical Center Contract Information – Update

As we previously communicated, Maine Medical Center (MMC) has announced its intention to leave the Anthem network on January 1, 2023.

The dispute between the Anthem and MMC is about how the hospital is paid, and if MMC is charging appropriately for services as per their existing contractual agreement.  Anthem and MaineHealth have been working with a mediator for several months to address disagreements regarding terms of their current contract. We have spoken with leadership of both parties, and recently learned that they have resumed talking to each other, to attempt to resolve these issues, which is very encouraging.  We remain hopeful that the parties will work out their differences and that MMC will remain in the network.

Please note that MaineHealth has stated that they are withdrawing only the Maine Medical Center (MMC) hospital facility from the Anthem network.  MaineHealth has confirmed (on their own website) that “MaineHealth has no plans to remove its physicians and other providers in its system-wide medical group from the Anthem network.”

We understand the concerns raised by this announcement and this potential change. The Health Trust continues to work on contingency plans in the event an agreement cannot be reached.

We are monitoring this situation very closely, and are doing all we can to push for a quick resolution and to limit the impacts on our members.

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