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’s contract with UnitedHealthcare is set to expire after December 31, 2025. Without a new agreement in place, TriHealth hospitals, outpatient centers, and physicians may be out-of-network for patients with UHC employer-sponsored and Medicare Advantage health plans.
Negotiations between health systems and health plans are commonplace, but our existing relationship with UnitedHealthcare falls short of what it takes for us to deliver better care, better health, and better value for our community. To-date, TriHealth saves greater Cincinnati more than $100M on healthcare costs—with improved health outcomes.
For months, we’ve asked UnitedHealthcare to join us in keeping our model of care sustainable, just as other major commercial insurers have done. So far, they’ve refused but we’re hoping we can still find common ground.
Our Goals:
For now, nothing changes in your care with us. But without improved partnership from UHC, that care could be disrupted—and patients, progress, and our community could bear the cost.
What is continuity of care?
Some patients with certain medical needs who are impacted by our negotiations with UnitedHealthcare may be able to request temporary in-network access to TriHealth, regardless of our network status with UnitedHealthcare after December 31. This extended access will only be available for a limited time, as determined by UnitedHealthcare.
Applying for continuity of care
Patients who may qualify to continue receiving in-network care at TriHealth, contact UnitedHealthcare (UHC) Member Services directly to request Continuity of Care coverage.
It is important to know:
Make your voice heard—tell your elected officials that keeping TriHealth in-network is essential to you. We need other voices to ask UnitedHealthcare to negotiate in good faith so we can resolve this quickly and fairly.
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.