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Nurse Pracitioners Recognized as Primary Care Providers

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Medigold is the Medicare associated health insurance tied to Mt. Carmel Health Partners, a major system in central Ohio. In Ohio, Certified Nurse Practitioners (CNPs) are required to have a collaborating physician, but most CNPs practice independently of them. Most insurances such as Caresource recognize and reimburse CNPs as a primary care providers. Most physicians work for hospital systems that have signed legal contracts that contain “no compete clauses” that prohibit them from signing collaborative agreements with CNPs that are not hired by their system. This creates a “catch 22” for CNPs that are providing care independent of hospital health systems. The primary care shortage is well known and in our office we turn new patients away daily.

My story: Even though I am credentialed with all the appropriate agencies and have physician agreements in place, since the main physicians has dropped her credentialing, Mt. Carmel will not reimburse or recognize me. I will no longer be able to provide care to my Medigold patients that I have been seeing several years. I am personally boycotting Mt. Carmel referrals and services until they recognize CNPs as primary care providers. If you would like to further voice your concern please contact:

Renee Sudimack

Provider Relations Specialist

Mount Carmel Health System | A Member of Trinity Health

O: 614-546-4259 | F: 614-546-4269

Kelley Compson

Manager Provider Engagement

Mount Carmel Health Partners

(O) 614-546-4769

(C) 614-774-6400

Dr. Daniel Wendorff

Please sign the petition below to tell Mt. Carmel Health Partners and Medigold to recognize and reimburse CNPs as primary care providers regardless of whether the collaborating physicians are in-network.

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