MOUNT KISCO, N.Y. -- Dr. Scott D. Hayworth, President and CEO of Mount Kisco Medical Group (MKMG), was one of several experts from around the state invited to participate in roundtable discussions Wednesday at the Senate Standing Committee on Health and Insurance in Albany.
Hayworth and other experts discussed and examined issues relating to Health Republic’s recent demise and the state’s response to financially fragile insurers.
MKMG is a multi-specialty medical group that provides the highest quality medical care in 40 different locations throughout Westchester, Putnam, Dutchess, Columbia and Ulster counties. The group has actively participated in New York State’s Exchange programs and the national Affordable Care Act.
MKMG has over 13,000 patients with Health Republic coverage, representing over 6 percent of Health Republic’s membership. “With this level of membership, we have calculated that we will lose millions of dollars in revenue for services provided to Health Republic patients,” Hayworth said. “Insurance reimbursements from Health Republic are lost not only for doctor visits, but also for surgeries, supplies, vaccines and chemotherapies. Our physicians feel very frustrated and are concerned that other insurers might also fail, creating further instability in the market.
"Furthermore, recruitment of quality primary care physicians in New York State has become increasingly challenging,'' Hayworth added. "The failure of this plan as part of the NYS Exchange program seriously impedes the recruitment of the finest physicians to our state. New York State must secure funding to compensate providers for services delivered in good faith.”
"Health Republic's failure has impacted over 215,000 enrollees and countless providers. I firmly believe New York State has an obligation to ensure that health care providers are compensated for their services which ultimately leads to better health care for all." said Senator Terrence Murphy.