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08/01/2016

Oscar Plans To Downsize, Actively Recruit Podiatrists

Health insurer Oscar will cut its network in half for 2017 and will no longer cover many of New York City’s largest health care providers.

In 2017, the health plan will cover 20,000 providers, about half as many as it does this year, according to Mario Schlosser, Oscar’s co-founder and chief executive. It will include 31 hospitals in its network, down from 77 in 2016. It has agreed to work with Mount Sinai Health System, Montefiore Health System and the Long Island Health Network, which includes 10 hospitals.

Oscar has struggled financially in the first three years of the New York State of Health marketplace. In the first quarter of this year, it lost $38.7 million. For all of 2015 the insurer lost $92.4 million.

Oscar intends to raise premiums 18.4% on average in the nine counties it serves, according to the state Department of Financial Services. Meanwhile, those consumers will have fewer choices when it comes to doctors and hospitals next year

PODIATRISTS NEEDED: Beginning January 1, 2017, Oscar will be developing its own direct network and is now actively recruiting podiatrists from the NYSPMA membership.

You will need to have a contract directly with Oscar in order to see their members. They are in the following counties at this time: the five boroughs of New York City, Nassau County, Suffolk County, Westchester County and Rockland County.

The reimbursement rate is 100% of current Medicare.

If you are interested in applying to participate with Oscar, please click here for instructions, download the accompanying documents below, and return the forms to the address indicated on the documents.

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