All NewsEducationTV
Equities & FundsCrypto & Digital AssetsAI & TechnologyBusiness & CorporateUS Politics & PolicyGeopolitics & Global RiskMacro, Rates & FXCommodities & EnergyEuropean Politics & MarketsAsia-PacificReal Estate & Property
All NewsHome
← Back to Business & Corporate

Mount Sinai stops accepting new patients with public insurance

Created at 19 Aug · 7:35 PM1 source↑ Market-relevant
IN SHORT

Mount Sinai has stopped accepting new patients with certain public insurance plans, citing operational and business priorities. The health system updated its website to remove references to the policy after inquiries, and a spokesperson stated exceptions exist for transplant, obstetrics, and pediatric patients.

Who's Involved

Mount Sinai
health system stopping new patients on public insurance
Lucia Lee
Mount Sinai spokesperson
EmblemHealth
insurer negotiating contract with Mount Sinai
Alex Gomez
EmblemHealth spokesperson

↳ Why This Matters

The decision by Mount Sinai to stop accepting new patients with certain public insurance plans raises concerns about access to care for vulnerable populations and highlights ongoing tensions between healthcare providers and insurers over contract terms and reimbursement rates.

Key facts

  • Mount Sinai has stopped accepting new patients with certain public insurance plans.
  • The health system cited "systemwide patient service, operational, and business priorities" for the decision.
  • Mount Sinai updated its website to remove references to the policy after inquiries.
  • Exceptions are made for new transplant, obstetrics, and pediatric patients.
  • EmblemHealth, an insurer negotiating a contract with Mount Sinai, was unaware of the decision and criticized it.

Mount Sinai has stopped accepting new patients with certain public insurance plans, attributing the decision to "regular review and reconsideration of our practice panels based on systemwide patient service, operational, and business priorities." After POLITICO inquired about the policy, Mount Sinai updated its website to remove all references to not accepting new patients with those plans.

A spokesperson for Mount Sinai, Lucia Lee, stated that the policy applies only to patients new to the health system, with exceptions for new transplant, obstetrics, and pediatric patients. Lee added, "Like health systems across New York, we regularly review our participation in health plans and make adjustments based on a range of factors, including the terms of our agreements with insurers and our ability to sustain access to care for our patients." She also affirmed Mount Sinai's commitment to high-quality care while maintaining necessary resources.

EmblemHealth, an insurer that is currently negotiating a new contract with Mount Sinai, stated that it was unaware of the decision until POLITICO reached out. EmblemHealth spokesperson Alex Gomez called the move "indefensible" if intentional, stating, "If this is an oversight, we expect prompt clarification."

Frequently asked questions

Mount Sinai cited "systemwide patient service, operational, and business priorities" and the need to "sustain access to care for our patients" while maintaining resources.

The policy applies to new patients, with exceptions for new transplant, obstetrics, and pediatric patients.

EmblemHealth stated it was unaware of the decision and called it "indefensible" if intentional, noting they are in contract negotiations with Mount Sinai.

What Happens Next

01EmblemHealth expects clarification from Mount Sinai regarding the policy.
02Negotiations between EmblemHealth and Mount Sinai for a new contract are ongoing.

How It Developed

Mount Sinai stopped accepting new patients with certain public insurance plans.
The health system cited "systemwide patient service, operational, and business priorities" for the decision.
Mount Sinai updated its website to remove references to the policy after POLITICO inquired.
A spokesperson stated the policy applies to new patients, with exceptions for transplant, obstetrics, and pediatric cases.
EmblemHealth stated it was unaware of the decision and called it "indefensible" if intentional.

Sources

T1
Mount Sinai stops taking some new patients on public insurancePolitico

Related Stories

Munich Re to acquire US cyber insurance provider At-Bay for $575 million
19 Aug · 7:31 AM
Pizza Express apologizes after family refused entry over son's allergies
19 Aug · 8:15 AM
Dog food recalled over potential link to pet blindness
19 Aug · 11:11 AM
Marina Bay Sands leads Singapore casino market over Sentosa
19 Aug · 6:41 AM
Hershey expands savoury snacks for health-conscious Halloween consumers
19 Aug · 11:05 AM