North Carolina Settles Duke Health Dispute, Averting 2027 Premium Hike
North Carolina's state health plan and Duke Health have reached a multi-year agreement, settling a dispute over the cost of care for employees and retirees. This deal averts a potential increase in premiums for 2027 in the United States.
The settlement comes after Duke sought higher payments for its services, which could have led to increased premiums next year. The Legislature stepped in, appropriating $100 million for the health plan this year.
The agreement, reached with Aetna and the state, prioritises efficiency and high-quality care. It aims to drive down healthcare costs, benefiting about 23,000 members who have Duke as their primary care provider and the 40,000 who have filed a claim with Duke this year.
Thomas A. Owens, M.D., Executive Vice President and Chief Operating Officer of Duke University Health System, was involved in the negotiations. The state health care plan board had previously raised premiums for 2026 to address a projected $500 million shortfall. In case Duke left the network, the plan had authorised hiring contract medical providers for other members.
With the settlement, the state will not raise health care premiums in 2027. Duke's agreement with Aetna ensures continued care for current cancer and maternity patients, as required by North Carolina law. Both parties have committed to promoting high-quality, efficient care in the USA.
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