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The recent article on Fairview’s and other hospitals’ and clinics’ claims on UCare’s unpaid bills (“Fairview says it’s owed $100M by UCare,” Dec. 20) highlights more than a financial dispute — it raises fundamental questions about how health care is financed and delivered in Minnesota.
As the state moves to rehabilitate UCare, health care providers are seeking payment for services already delivered. A Ramsey County Court order rightly requires the state to consider the interests of organizations owed money by UCare.
While large creditors understandably dominate the headlines, smaller providers that performed essential work for UCare members must not be overlooked. Eleven nonprofit community health centers in the Twin Cities partnered with UCare in 2025 to close care gaps for low-income Minnesotans. Together, they identified patients who had missed critical preventive screenings for breast, colon or cervical cancer and helped ensure access to other essential services such as dental visits and diabetic eye exams.
Through this partnership, nearly 4,000 patients received timely, often lifesaving preventive care — reducing avoidable hospitalizations and keeping people healthy enough to work, learn and contribute to their communities.
Yet these community health centers have not been paid for work completed in the second half of the year. They invested limited resources in good faith, fulfilling their contractual obligations while improving health outcomes and lowering long-term costs.
As the state unwinds UCare, it must recognize and honor the contributions of small, independent clinics that delivered on their commitments. Just as importantly, Minnesota should seize this moment to reaffirm a clear vision for strong, accessible primary care — because prevention only works when providers are paid to deliver it.