Johns Hopkins Medicine and UnitedHealthcare have ended contract negotiations, leaving thousands of patients without in-network health insurance, according to a letter reviewed by our media partner, The Baltimore Banner .

The letter states that Johns Hopkins will not return to accepting UnitedHealthcare coverage for its patients.

Johns Hopkins leaders said patients may have to pay higher out-of-pocket costs to continue with their doctors and hospitals, and told providers to encourage patients to consider alternative insurers that include the medical system in their networks during upcoming open enrollment.

Hopkins Medicine leaders sent a letter to medical staff Monday evening about the end of negotiations and plan to alert patients Tuesday morning, the Banner reports.

More than 60,000

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