PCI could cut ties with two of Iowa's private Medicaid insurers [View all]

CEDAR RAPIDS — Payment disputes have pushed Physicians’ Clinic of Iowa to threaten to terminate contracts with two of the state’s three private Medicaid insurers if the concerns are not soon corrected.

In letters sent to Amerigroup Iowa and AmeriHealth Caritas Iowa, PCI — one of the state’s largest private physician groups — told the insurers that failure to consistently pay provider claims properly or in a timely manner have led the medical provider to send a notice of breach of contract.

PCI told Amerigroup it must correct issues within 30 days and AmeriHealth it must fix issues within 60 days or the provider no longer will see patients of either insurer starting on Sept. 1.

“It is not our intent to terminate relationships or reduce access,” said Eric Dalton, chief financial officer of PCI. “But we wanted to bring attention to these issues through filing a breach of contract because we have exhausted all other efforts.”

Read more: http://www.thegazette.com/subject/news/health/pci-could-cut-ties-with-two-of-iowas-private-medicaid-insurers-20170517