Tag: Business of health care

  • Main Line Health, UnitedHealthcare contract dispute could leave 32,000 patients out of network later this month

    Main Line Health, UnitedHealthcare contract dispute could leave 32,000 patients out of network later this month

    Chris Feaster sees Main Line Health clinicians for mammograms, breast MRIs, and other preventive screenings required due to her high risk of breast cancer.

    The 61-year-old Montgomery County resident has been panicked in recent weeks after Main Line sent patients a letter warning that the nonprofit health system’s contract with her insurer, UnitedHealthcare, may end later this month.

    Main Line is a leading provider of care across Philadelphia’s western suburbs, where it has four hospitals. Feaster has relied on its facilities for care for 40 years.

    “They know me,” she said of her Main Line providers in an interview. “I have been getting monitored there since the time I was in my early 30s.”

    Feaster, who lives in Trooper, has already experienced a healthcare disruption caused by another insurance dispute. Two years ago, Axia Women’s Health and United failed to reach adeal. That forced Feaster to find a new gynecologist after 40 years.

    Chris Feaster is among thousands of Main Line Health patients worried about the prospect of Main Line Health going out of network with UnitedHealthcare at the end of this month.Steven M. Falk / For The Inquirer

    If no deal is reached by June 30, Feaster could be facing a repeat. She is among 32,000 affected Main Line patients who have United insurance through Medicare Advantage plans and commercial insurance from employers.

    It’s not unusual for health systems and insurers to go down to the wire when negotiating contracts, but Axia’s failure to reach a deal — and the decision by Jefferson Health’s Lehigh Valley Health Network to go out of network with United — has people on edge.

    Main Line Health said that United had been engaging more meaningfully in negotiations in recent weeks. “We are hopeful that momentum continues. We remain committed to reaching a resolution before June 30,” its statement said.

    For Main Line, which is far less profitable than it was before the pandemic, the dispute is not just about rate increases. The nonprofit health system also wants to reduce claim denials, prior authorization delays, and excessive audits.

    UnitedHealthcare focused on prices in a statement, and the impact high costs have on employers who pay for health benefits.

    “Main Line Health is seeking price hikes that would significantly increase costs for families and employers,” UnitedHealthcare said.

    United added that self-insured companies would absorb the biggest hit ”impacting the money they have to grow their business and compensate their employees.”

    Worries about maternity care

    Jessica Geida, a Newtown Square resident and an ob/gyn who is not currently practicing, is particularly worried about access to maternity care in Delaware County, given that Axia is already out of network with United.

    Main Line operates the only practice that delivers babies at Riddle Hospital for people with UnitedHealthcare (UHC), said Gaida, who has worked at Axia and Main Line. “If they drop UHC, there would be no access to care in the Delaware County,” she said.

    Maternity care has been under pressure in Delaware County since the maternity unit closed at Delaware County Memorial Hospital in early 2022, followed by the shutdown of Crozer-Chester Medical Center a year ago as part of the Prospect Medical Holdings bankruptcy.

    Mercy Fitzgerald Hospital in Darby closed its labor and delivery unit more than 20 years ago.

    If Main Line and United fail to reach a deal, UnitedHealthcare patients might have to go to Penn Medicine’s Chester County Hospital in West Chester, which is already busy.

    Patients who get into Penn’s ob/gyn practice at Penn Medicine Radnor deliver babies at the Hospital of the University of Pennsylvania in Philadelphia, according to that group’s web site.

    A disappointing call

    Feaster said a call from UnitedHealthcare Friday left her feeling very uncertain about her care.

    Feaster grew up in Wayne and kept seeing Main Line doctors when she moved to Trooper, which is north of King of Prussia.

    Feaster would have to specially request a continuation of care to keep seeing each of her Main Line doctors at in-network prices, the UnitedHealthcare representative told her.

    The temporary stopgap is designed to help people who have significant needs — including cancer patients in the middle of treatment — avoid gaps in care while they switch to doctors who accept their insurance.

    Feaster would have to fill out part of the form, and her doctors would have to complete another part. She’d also have to take the same steps for Main Line providers of her regular mammograms, breast MRIs, and DEXA bone density scans.

    UnitedHealthcare would then review each request to determine whether to approve.

    “I’m really worried,” she said.

  • Chester City agrees to five-year emergency medical services contract with VMSC

    Chester City agrees to five-year emergency medical services contract with VMSC

    Chester City agreed to a five-year, $2.8 million contract with VMSC Emergency Medical Services, a nonprofit that started providing ambulance services in the community after the closure of bankrupt Crozer Heath a year ago, the city and VMSC announced Monday.

    During VMSC’s first year in Chester, the Lansdale organization had a $470,000 shortfall, chief executive Shane Wheeler said. The $2.8 million is expected to support operation of the services — including the cost of serving uninsured patients — and pay for equipment needs.

    The ambulance company has responded to 8,324 calls since May 2, but 35% did not require transport to a hospital, Wheeler said. In many cases, the ambulance crew fulfills the function of primary care for residents.

    “We’re assessing blood pressure or helping someone with their medication, helping people get up” from a fall, Wheeler said.

    VMSC’s accomplishments in the first year reducing ambulance response time to about 5½ minutes from more than 12 minutes, according to Wheeler.

    The contract requires VMSC to assign at least three basic ambulances to serve Chester and its direct neighbors, with two staffed 24 hours a day. The organization also must provide at least one commander with training in more advanced treatment.

    “This agreement is about stability, reliability, and protecting the health and safety of our residents,” Chester Mayor Stefan Roots said in Monday’s announcement of the contract. “This is a critical investment in public safety and in the overall well-being of our city.”

  • How realistic is new owner’s ‘aspirational’ plan for Crozer-Chester Medical Center campus?

    How realistic is new owner’s ‘aspirational’ plan for Crozer-Chester Medical Center campus?

    The new owner of the shuttered Crozer-Chester Medical Center in Delaware County shared what he called an “aspirational” plan to restore healthcare services to the Upland facility at a town hall meeting Tuesday in Chester.

    The vision includes reopening of the emergency department, creating a small hospital above the ED, and developing outpatient services — all operated by one or more local nonprofit health systems, Yoel Polack told a standing-room-only crowd of more than 200 at Widener University.

    Polack is CEO of Chariot Allaire, the for-profit partnership that paid $10 million for Crozer in January. His group has been talking to all the regional health systems for months and expects soon to begin “a study process with two and hopefully three of the major academic medical centers in the region,” he said.

    That is expected to last up to 90 days, he said, “and hopefully at the end of that period, we’re going to be having some outline of partnership with the system.” Polack described his anticipated partner as an institution “you know and trust.”

    The entire process could take two or three years after a partnership is formed, he said Polack, whose company is registered in Lakewood, N.J.

    He provided no details on how much Chariot Allaire would be willing to invest to attract a health system to the site, where state-led efforts previously failed to save a major safety-net provider for Delaware County that closed last May amid the bankruptcy of its California-based owner, Prospect Medical Holdings Inc.

    Chariot Allaire paid relatively little for the 64-acre campus, which gives the company a low cost basis for owning the site. But that doesn’t mean it will be easy to attract a partner at a time of thin to nonexistent profit margins for the region’s health systems.

    “It does not seem like there’s an easy and obvious candidate,” said Dan Grauman, managing director at VMG Health, a national healthcare consulting firm.

    “There’s no question there’s need for care and for services, said Grauman, who has decades of familiarity with the Philadelphia region’s healthcare market.

    A welcome public meeting

    During an hourlong question and answer session, residents expressed gratitude for the meeting with Polack and his senior medical adviser, Arthur Klein, a pediatric cardiologist who spent decades as an executive at nonprofit health systems in New York.

    A town hall meeting Tuesday in Chester about plans for the former Crozer-Chester Medical Center drew a large crowd.Monica Herndon / Staff Photographer

    “Many times things happen in our community, and we are the last to know, so you started off very, very well,” said Zulene Mayfield, chairperson of Chester Residents Concerned for Quality Living, a community group known for the fight to close a large trash incinerator in the city.

    Some residents pushed back against Polack and Klein’s plans for a much smaller hospital than the more than 400 beds Crozer-Chester Medical Center had at its peak. During a March interview with The Inquirer, Klein suggested the new hospital could have 80 beds.

    “You don’t want a hospital of the 1990s,” Klein said Tuesday.

    The current hospital structure encompasses 750,000 square feet — now completely empty. Crozer’s shuttered ED took up 30,000 of the square feet. Chariot Allaire contemplates opening a hospital a tenth of the size of the old hospital.

    Operating that hospital cost way too much, Polack said. ”It also doesn’t meet the way medical care is done today, which is mainly on the outpatient side,” said Polack, who has worked in healthcare real estate development in New York.

    Simone Development Cos., where Polack worked before striking out on his own, often collaborated on real estate deals with Montefiore, a health system in the Bronx that serves many patients with Medicaid insurance, Grauman said.

    That experience is relevant to the effort here, he said, given that Crozer also served large numbers of people with Medicaid, which pays significantly lower rates than private insurers.

    The role of local health systems

    Before Prospect’s bankruptcy filing in January 2025, a few local health systems explored establishing a new nonprofit to take over Crozer-Chester Medical Center. Those talks continued during the bankruptcy, but failed to produce a solution.

    The University of Pennsylvania Health System said it remains at the table.

    “We continue to work with committed partners to restore crucial healthcare services for Delaware County residents,” Penn said in a statement. “It’s important that any new models for the former Crozer-Chester site are built to be sustainable amid a rapidly changing healthcare landscape and persistent financial challenges.”

    ChristianaCare, which plans to open a micro-hospital in Aston in June, is not in discussions with Chariot Allaire, it said, but supports “their efforts to expand access to quality heath care in Delaware County.”

    Arthur Klein, senior medical adviser (left), and Yoel Polack, CEO of Chariot Allaire, greet attendees during a town hall in Chester on Tuesday.Monica Herndon / Staff Photographer

    While Chariot Allaire is wooing health systems, the new owners of two other closed Crozer Health hospitals, Taylor and Springfield, are doing the same thing. Local investors paid $1 million each for those hospitals. Those low prices could allow the owners to offer below market rate leases to attract tenants.

    Polack noted that if no local systems want to bring services to the Crozer site, he would look farther afield.

    “We don’t control hospital systems and operators, but we are doing everything that we can to put the pieces together to illustrate the opportunity that we see here to those hospital systems,” he said.

  • The new owner of Crozer-Chester Medical Center wants to restore hospital and emergency services

    The new owner of Crozer-Chester Medical Center wants to restore hospital and emergency services

    The new owner of the defunct Crozer-Chester Medical Center wants to restore hospital and emergency services to the 64-acre campus that straddles Chester and Upland Township in Delaware County.

    Newly formed Chariot Equities completed the $10 million purchase Wednesday. The for-profit entity said it expected within six months to have an agreement with a health system that would operate a “right-sized” hospital and emergency department at the facility that had been the county’s largest provider of those services before closing last year.

    The idea is then to open the first phase within two years, Chariot said in a statement.

    Chariot did not say how much it would spend on refurbishing Crozer-Chester, which had suffered from years of neglect under its two previous owners.

    Chariot’s partner at Crozer-Chester is Allaire Health Services, a Jackson, N.J.-based for-profit operator of nursing homes.

    The partners said they are in talks with regional and national nonprofit health systems regarding an operating partnership, but provided no details. The amount of money needed for the project would likely depend on what prospective tenants would want to do at the property.

    “Our belief in Delaware County’s future, and the community’s need for sustainable healthcare access, made this an effort worth committing to well before the finish line,” said Yoel Polack, Chariot’s founder and principal.

    Little is known about the new owners. Polack worked in healthcare real estate in the New York City area before setting his sights on redeveloping Crozer-Chester.

    Federal records list Allaire’s CEO Benjamin Kurland as an owner of 20 nursing homes, including three in the Philadelphia area. Chariot’s statement said Allaire owns a total of 29 facilities in five states.

    Philadelphia-area facilities associated with Kurland are the Center For Rehab & Nursing Washington Township, which was acquired from Jefferson Health; Riverview Estates Rehab & Senior Living Center in Riverton; and West Park Rehabilitation & Nursing Center in West Philadelphia.

    Local interest?

    Main Line Health has been involved in discussions about reopening emergency services at three former Crozer hospitals — Crozer-Chester Medical Center, Springfield Hospital, and Taylor Hospital — at the request of state lawmakers and the property owners, Ed Jimenez, CEO of Main Line Health, said Wednesday at a Riddle Hospital event.

    Jimenez said he would “entertain the concept” of restoring emergency services at one of the hospitals as part of a partnership with other health systems, but only if it can be done on a break-even basis.

    All three of the former hospital buildings visited by Main Line officials are in poor condition and were stripped of medical equipment after the closures. Main Line’s experts estimated it would cost between $15 million and $20 million just to make the emergency department at Taylor functional, Jimenez said.

    ChristianaCare, Delaware’s largest health system, considered acquiring Crozer in 2022. Instead, it took a different path to expansion in Southeastern Pennsylvania. It is planning to open two micro-hospitals in Delaware County. The nonprofit system also took over five former Crozer outpatient locations. Its credit rating was recently downgraded by one notch because of lower profitability.

    The importance of Crozer-Chester

    Crozer-Chester closed in early May during the bankruptcy of owner Prospect Medical Holdings Inc., a for-profit company based in California, and after the failure of government-supported efforts to form a new nonprofit owner for Crozer-Chester and other Crozer Health facilities.

    Crozer-Chester was particularly important as a safety-net provider for a low-income area of Delaware County that has few other nearby options. The Crozer system, which had four hospitals, was the county’s largest health system and largest employer for many years.

    Two local Democratic officials, State Rep. Leanne Krueger and Delaware County Council member Monica Taylor, said they were encouraged by the approach being taken by Chariot and Allaire.

    At Taylor Hospital, the other Crozer hospital that closed last year, new owners are also looking for healthcare tenants. Local investors bought the Ridley Park facility for $1 million. It is less than four miles from Crozer-Chester.

    The same group agreed last week to pay $1 million for Springfield Hospital, another facility that had previously shut down under Prospect ownership.

  • The fates of Crozer-Chester Medical Center and Springfield Hospital remain uncertain three weeks after bankruptcy auction

    The fates of Crozer-Chester Medical Center and Springfield Hospital remain uncertain three weeks after bankruptcy auction

    Friday marks three weeks since the bankruptcy auction for Delaware County’s Crozer-Chester Medical Center and Springfield Hospital, and it’s not clear how much progress has been made.

    Closing the sales depends in part on local authorities agreeing to tax deals that set the assessments at the transaction prices of $10 million and $3 million, respectively, for a limited period of time.

    Upland Borough, which is home to much of Crozer-Chester, is working on a property tax agreement that will be filed in court, borough council president Christine Peterson said Thursday. “We anticipate that Upland Borough Council will take action in favor of that stipulation once it is complete,” she said.

    A representative for Chester Upland School District did not respond to a request for comment Thursday.

    If the school district also agrees to a tax resolution, a company called Chariot Allaire Partners LLC is clear to acquire the shuttered safety net hospital for $10 million.

    Yoel Polack, who is principal of Chariot Equities and has been talking with local officials and prospective healthcare providers about plans for the hospital, said last Tuesday that he expected to issue what he called a “comprehensive memo” on the property this week.

    Polack said in an email Thursday that there was still no update, but he is hoping to have something in the next few weeks.

    The backup bidder for Crozer-Chester is the same group that won the auction for Springfield. The auction led to Chariot increasing its offer by $3 million.

    Both facilities are owned by Prospect Medical Holdings, whose next bankruptcy hearing is scheduled for Tuesday. Items to be considered include Springfield Township’s lawsuit aiming to force Prospect to improve safety on the hospital campus that it closed in 2022.

    Bankruptcy Judge Stacey Jernigan granted a temporary injunction blocking Springfield from taking any action against California-based Prospect.

    Another topic is a proposed $1.5 million settlement of a lawsuit filed on behalf of Crozer employees who did not receive 60 days notice before losing their jobs in April and May when Prospect closed Crozer-Chester Medical Center and Taylor Hospital, which has since been sold. Federal law requires employers to provide two months notice of layoffs.

    A stalemate in Springfield

    Lawyers for Prospect identified Restorative Health Foundation and Syan Investments as the auction winner with a $3 million bid. But it appears a tax agreement that would assess the Springfield property at the purchase price is nowhere near completion.

    “The township has no interest in agreeing to a tax deal without having a better understanding of the buyer’s intended use of the site and whether it aligns with the township’s comprehensive plan,” spokesperson Pete Peterson said in an email.

    A representative for the winning bidders, Aminah Shabazz Perez, told the Delaware County Times recently that the buyer was in talks with two health systems about moving into the hospital, but one of them told township officials that was not true, Peterson said.

    “In addition, the township already did its due diligence prior to the bankruptcy auction and engaged in discussions with representatives of different health systems,” he said. ”There was no interest in the property due to the cost of improvements the facility would need.“

    Attempts by The Inquirer to reach Shabazz Perez have not been successful. Prospect did not respond to request for comment on the property tax situation.

    The Springfield School Board would also have to agree to a tax settlement, but has not voted “on any proposed resolution of the outstanding tax appeals or the tax assessments relating to the Springfield Hospital and parking garage properties,” the school board’s solicitor Mark Sereni said Wednesday.

    The face value of the Springfield School District’s latest claim in bankruptcy court is $1.43 million. Under an abandonment order signed on Oct. 14 by Jernigan, the district would receive a general unsecured claim, which is not likely to be worth much.

    If Prospect abandons Springfield and Crozer-Chester, the municipalities would have to foreclose on the properties to collect any of the money Prospect owes them.

  • Bankrupt Prospect Medical received bids of $10 million for Crozer-Chester Medical Center and $3 million for Springfield Hospital

    Bankrupt Prospect Medical received bids of $10 million for Crozer-Chester Medical Center and $3 million for Springfield Hospital

    The winning bids at a bankruptcy auction were $10 million for Crozer-Chester Medical Center and $3 million for Springfield Hospital, owner Prospect Medical Holdings Inc. said in a court filing late Monday.

    The California for-profit, which filed for bankruptcy protection in January, identified the top bidders from Friday’s auction as Chariot Allaire Partners LLC for Crozer-Chester in Upland and Restorative Health Foundation and Syan Investments LLC for Springfield.

    Prospect did not say in its filing when it expected the sales to be finalized. Both hospitals are currently closed.

    Yoel Polack, who is in the group that wants to buy Crozer-Chester, initially declined to comment about plans for the property. “We are still working through final administrative details of the sale and will wait until next week to make any statements to the press,” he said in an email over the weekend.

    Polack is identified on LinkedIn as principal at Chariot Equities, which describes itself on its website as a real estate investment and development company. Previously, Polack worked in healthcare real estate, such as medical office buildings, at Simone Development Cos. in New York.

    Polack had an out-of-office reply on his email Tuesday, saying he would have no internet or phone access until Thursday.

    The president of Upland Borough Council, Christine Peterson, did not respond to a request for comment Monday about the winning bidder.

    No definitive information was available on Restorative Health Foundation and Syan Investments.

    A phone number registered under the name Restorative Health Foundation in Philadelphia led to a home care agency called Restorative Home Care. The person who answered the phone Tuesday said she knew of no connection to a bid for Springfield Hospital. Another number for Restorative Health Foundation had a voicemail box that was full.

    Restorative Health and Syan also participated in the Crozer-Chester auction, driving the winning bid up to $10 million from Chariot Allaire’s original $7 million offer. They were identified as the backup bidder for Crozer-Chester, in case Chariot Allaire doesn’t complete the purchase.

    At Springfield, KQT Aikens Partners 2 LLC is the backup buyer. That involves the same group of local investors that bought Taylor Hospital for $1 million last month.

    Prospect shuttered Crozer-Chester this spring, following the failure of government-led efforts to find a new, nonprofit owner. It had closed Springfield in 2022.