St. Peter’s Health Partners Health recently notified CDPHP® members that they will leave our provider network if a new contract isn’t agreed upon by December 31, 2025.
These types of contract discussions are normal for this time of year, and it’s common for these conversations to continue well into the fourth quarter – or even the first quarter of the following year – without any disruption in care.
While most of these discussions between insurers and providers occur privately, some can become public. You’ll likely continue to hear about these discussions as more doctors and hospitals locally and nationwide use public pressure as a negotiation tactic.
Our #1 Goal: Keep St. Peter’s Health Partners in Our Network
We are working to reach a fair and equitable agreement that keeps St. Peter’s Health Partners in our network.
If St. Peter’s Health Partners chooses to leave our network, however, they’ll become an out-of-network provider. You can still receive care from out-of-network doctors and hospitals, but you’ll usually have to pay more.
We know you value the care you receive from your doctor and hospital. Hearing that they may choose to leave your insurer’s network can be confusing and stressful. We want to reassure you that our goal is to keep St. Peter’s Health Partners in our strong network, which includes more than one million providers coast-to-coast.
Our priority is to come to an agreement, and we remain committed to these ongoing negotiations.
Unreasonable Payment Requests That Impact You
During these contract discussions, St. Peter’s Health Partners asked for unreasonable payments from CDPHP. This has become an unfortunate pattern as hospital systems attempt to leverage their market power to extract exceptionally high payments.
As your locally based, not-for-profit health plan, we don’t think that’s fair to you.
If we agreed to this, you could bear the burden of these added costs. This is unacceptable, as health care costs continue to rise. Our team is working hard to reach a fair contract with St. Peter’s Health Partners that preserves access to your doctors and hospitals without substantially raising your health care costs.
What Happens Next
We understand this impacts your experience as our member. At this time, you don’t need to take any action. We will communicate further updates as they develop.
It’s our priority to come to a mutually agreed upon contract with St. Peter’s Health Partners by year end.
As always, if you have questions about your specific benefits and coverage, or other concerns, please log in to your online account or call CDPHP member services at the number listed on the back of your member card.
We appreciate your membership and hope to continue to serve your health care needs. Thank you for trusting us with your care.