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"We do not want our patients to be caught in the middle. Our focus is on preserving care for our patients, that prioritizes prevention and long-term wellness, and we need UHC to support us in that pursuit."

Dr. Raymond Metzger, President of TriHealth Population Health Organization (TPHO) discusses how the ongoing negotiations with UnitedHealthcare may affect TriHealth patients with care disruption beginning January 1, 2026 and what you can do about it.

UnitedHealthcare Negotiations

What you can do.
TriHealth is on the side of our patients.
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TriHealth in the News:

Real Savings Come From Better Care. Not Scare Tactics.
By Terri Hanlon-Bremer, Chief Operating Officer, TriHealth & Senior Leader Corporate Health

UnitedHealthcare Contract Deadline at Two Health Systems Looms
By Lauren Giella, Senior Reporter, Newsweek, 11/25/2025

Tri-State Employers Can’t Afford a Breakdown in Health Care Negotiations
By Cynthia Booth, CEO, Emerge Manufacturing, & Vice Chair, TriHealth Board of Trustees

Insurance red tape isn’t health care. It’s time for change
By Dr. Raymond Metzger, President, TriHealth Population Health Organization
Published 11/20/2025, The Cincinnati Enquirer

Getting Health Care Right for Tri-State Employers
By Mark Clement, President & CEO, TriHealth & Dr. G. Stephen Cleves, System Chief for Primary Care, TriHealth

Our Commitment to Patients Takes Commitment from Health Plans
By Mark Clement, President & CEO, TriHealth

TriHealth + UnitedHealthcare: What You Need to Know

TriHealth’s contract with UnitedHealthcare is set to expire after December 31, 2025.

For months, we’ve asked UnitedHealthcare to join us in keeping our unique, nationally recognized population health model of care sustainable, just as other major commercial insurers have done. TriHealth has made significant compromises in our negotiations, yet UnitedHealthcare continues to indicate that is not enough. At this time, we expect that UnitedHealthcare will force TriHealth out of network, leaving thousands of commercial and Medicare Advantage members without affordable access to trusted health care providers after December 31.

Our Goals:

  • Fair reimbursement that covers the actual cost of care, so we can continue prioritizing patient wellness and disease prevention over sick care.
  • Less administrative red tape so TriHealth medical staff spend more time on patient care, not paperwork, and see and care for patients where they need care---not weeks or months following administrative delays.

We expect UnitedHealthcare to do what’s right for the people we jointly serve.

If you have questions, scroll down to our FAQs our patient support team is here to help: (513) 853-2100. 

What You Can Do

  • Call UnitedHealthcare. Use the number on the back of your insurance card and let them know that continued access to TriHealth’s care is important for you.
  • Talk to your HR manager. If you are insured through your employer, they may be able to advocate on your behalf and speak directly with UnitedHealthcare. They may be able to also help you explore plan options that include TriHealth in-network for the next benefit year.
  • Stay informed. Visit this page or call our patient support team at (513) 853-2100 if you have questions about our negotiations or want to know the status of our relationship with UnitedHealthcare.
  • Contact your elected representative.

How to Remain In-Network

If you wish to maintain in-network access to TriHealth, you must take action now:

  • Call UnitedHealthcare. It’s important they hear from members that TriHealth must remain in-network. We’ve shared many of our patients’ concerns with UHC but hearing it from TriHealth alone isn’t enough.
  • Immediately request Continuity of Care from UHC: If you are pregnant or receiving active treatment for a chronic condition at TriHealth, you may request extended coverage from your current providers despite network changes. UnitedHealthcare did not work with us to pre-qualify patients, so you must contact the insurer directly to determine eligibility.
  • Confirm Your Out of Network Benefits: call the number on the back of your UHC insurance card to see if your plan includes out of network benefits, which provides coverage but at slightly higher costs when seeking care with an out of network provider.

It is important to know:

  • UnitedHealthcare is solely responsible for reviewing and determining eligibility for extended in-network access under Continuity of Care. 
  • Call the number on the back of your UHC insurance card and ask to speak with someone regarding Continuity of Care.
  • UHC may request clinical information to support their review, and patients should be prepared to discuss ongoing treatment needs.
  • The deadline to initiate a Continuity of Care request is January 30, 2026.

Take Action Now

Tell your elected officials that keeping TriHealth in-network is essential to you. We need other voices to urge UnitedHealthcare to negotiate in good faith so this is resolved.

You can find your elected representatives here:

Not sure what to say? We’ve included a sample message below to make reaching out even easier.

Frequently Asked Questions