Over the past few months Hometown Health has been negotiating with Carson Tahoe Hospital and its related entities for a new contract. We are pleased to announce we have successfully negotiated a new contract resulting in Carson Tahoe Regional Medical Center, Carson Tahoe Medical Group, and Carson Tahoe Continuing Care Hospital remaining in-network for Hometown Health.
We are appreciative of the partnership with Carson Tahoe Hospital and its related entities and their collaboration to come to an agreement that enables us to keep health costs affordable for our members and the community.
The following Carson Tahoe Hospital entities will remain in network for Hometown Health and Senior Care Plus members on July, 1 2021:
In recent negotiations, Carson Tahoe Hospital has demanded an 84% percent price hike on inpatient hospital services that will drive up the cost of health care for the members and customers we serve. In addition, Carson Tahoe is asking for 55% percent price hikes on long-term care, and a 20% percent increase on primary and specialty care.
While negotiations continue, the distance between Carson Tahoe Hospital’s demand and Hometown Health’s offer of continual increases over the next three years appears unsurmountable. As a result, and in order to help minimize disruption in care, we are providing early notice that all Carson Tahoe Hospital services and facilities will be out of network for Hometown Health and Senior Care Plus members effective July 1, 2021.
If an agreement is not reached by Wednesday, June 30, 2021, all services for Carson Tahoe Regional Medical Center, Carson Tahoe Medical Group, and Carson Tahoe Continuing Care Hospital will transition to other in-network providers to help minimize disruption in care and to help keep healthcare costs affordable.
Also on that date, any Hometown Health and Senior Care Plus members currently under the care of Carson Tahoe Medical Group providers will be contacted and offered a selection of an in-network provider. We are committed to the health of our community. While we continue to negotiate in good faith, and hope to come to a mutually beneficial agreement in the next 30 days, our top priority is ensuring members have immediate access to care they need. We will continue to keep you informed as negotiations continue.
The Public Employees’ Benefits Program’s (PEBP’s) PPO network contract with SHO and Hometown Health (HTH) will terminate effective June 30, 2021. On July 1, 2021, PEBP will transition to the Aetna Signature Administrators (ASA) network. Claims will continue to be handled through HealthSCOPE Benefits.
To ensure PEBP members are not unexpectedly billed for out-of-network coverage, PEBP is requesting all providers who do not participate in the ASA network to inform their PEBP (HealthSCOPE) patients of this change prior to providing any services on or after July 1, 2021.
IMPORTANT: Claims for dates of service prior to July 1, 2021 must be submitted to HealthSCOPE Benefits for processing no later than September 30, 2021.
For questions, contact HealthSCOPE Benefits at 1-888-763-8232.
Please be advised beginning May 1st, 2021 Hometown Health will no longer be responsible for payment of inpatient admissions when timely notification is not received as described in the 2021 Administrative Guidelines. Please review this and other important changes in the updated Administrative Guidelines which are effective May 1st, 2021.
Renown Health will implement Open Notes via MyChart effective Mar. 17 in compliance with the 21st Century Cures Act. Please join one of two provider meetings for more information on how this impacts you and your practice:
Please email firstname.lastname@example.org for the video link and supporting documents.
Due to the ongoing COVID-19 state of emergency, members of the Hometown Health Signature HMO plan will not be required to get referrals from Primary Care Providers to receive specialty care. This COVID-19 policy is effective April 1, 2020 and will expire no later than September 30, 2020, unless otherwise extended by Hometown Health.
The above temporary COVID-19 no-referral policy does not change the requirement to obtain prior authorization from Hometown Health for services as listed in the plan document for any Hometown Health product. Services related to COVID-19 never require prior authorization for any Hometown Health product.