Houston Matters

Why Did Humana Drop Baylor Doctors From Its Network?

Health insurer Humana dropped Houston’s Baylor College of Medicine from its network back on Aug. 1. Baylor’s administrators had been notified in May. Still, they were surprised it wasn’t just a negotiating ploy. It also caught some doctors and patients off guard. The move terminated HMO, PPO and point of service plans. As the Houston […]

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Health insurer Humana dropped Houston's Baylor College of Medicine from its network back on Aug. 1.

Baylor's administrators had been notified in May. Still, they were surprised it wasn't just a negotiating ploy. It also caught some doctors and patients off guard. The move terminated HMO, PPO and point of service plans. As the Houston Chronicle's Jenny Deam reported recently — and tells Houston Matters' Paige Phelps — moves like this in group plans are somewhat new.

We reached out to Humana, and they did not get back to us with a statement. Baylor College of Medicine noted in a statement to us that "the decision" to terminate the contract was "made entirely by Humana," and that "there were no negotiations."

We understand what the move means and why it was made, we talk with Seth Chandler, Foundation Professor of Law at the University of Houston Law Center, where he specializes in insurance and health law.

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Michael Hagerty

Michael Hagerty

Senior Producer, Houston Matters

Michael Hagerty is the senior producer for Houston Matters. He's spent more than 20 years in public radio and television and dabbled in minor league baseball, spending four seasons as the public address announcer for the Reno Aces, the Triple-A affiliate of the Arizona Diamondbacks.

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