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New Mexico cancels Medicaid procurement process following leadership shakeup
New Mexico has canceled its current Medicaid contract procurement process as the state's Human Services Department director and Medicaid director depart. -
BCBS Texas, Ascension reach deal to avoid split
Blue Cross and Blue Shield of Texas and Ascension Texas have reached a new contract agreement, avoiding going out-of-network in a dispute that could have affected 66,000 patients. -
7 recently inked payer contracts
Here are seven new contracts and extensions Becker's has reported since Jan. 4. -
CVS, Rush to collaborate on care in Chicago-area MinuteClinics
CVS Accountable Care Organization and Chicago-based Rush University System for Health are collaborating on ACO REACH participation for Medicare members in the Chicago area. -
BCBS Texas, Hendrick Health extend contract, avoid split for now
Blue Cross Blue Shield of Texas and Abilene, Texas-based Hendrick Health have extended their contract agreement through April 30, avoiding a split between the two organizations. The contract was set to expire Feb. 1. -
California system back in network with UnitedHealthcare; negotiations ongoing with 2 others
Clovis, Calif.-based Community Health System is back in network with UnitedHealthcare and continues to negotiate new contracts with the two other payers it went out of network with at the end of 2022, The Fresno Bee reported Jan. 22. -
North Carolina officials grew frustrated with BCBS before contract switch, records show
Issues with Blue Cross Blue Shield of North Carolina's claims processing system led state officials to request new contract bids to manage its state health plan, the Charlotte Observer reported Jan. 19. -
North Carolina rejects BCBS, UnitedHealthcare protests of state health plan award
North Carolina is moving ahead with its plans to hand over its State Health Plan to Aetna, rejecting protests from Blue Cross Blue Shield of North Carolina and UMR, a UnitedHealthcare subsidiary. -
Amid insurance fight, some California hospital staff lose health coverage at their own facilities
More than two weeks after Clovis, Calif.-based Community Health System went out of network with several major insurers, hospital staff members are speaking out after being left without covered access to the system's facilities. -
UnitedHealthcare, Temple University Health System approaching split date
UnitedHealthcare is planning to terminate its Medicaid managed care contract with Philadelphia-based Temple University Health System on Feb. 1 if the sides are unable to strike a new deal, the Philadelphia Business Journal reported Jan. 17. -
UnitedHealthcare 2nd to file protest after losing out on North Carolina state health plan contract
UMR, a subsidiary of UnitedHealthcare, is protesting North Carolina's decision to award its state health plan contract to Aetna, the Winston-Salem Journal reported Jan. 15. -
Nashville mayor urges expedited negotiations in Vanderbilt Health-Humana dispute
Nashville, Tenn., Mayor John Cooper sent letters to Vanderbilt University Medical Center and Humana officials urging the sides to prevent "what could otherwise unfold into catastrophic scenarios" if the health system splits with the insurer's Medicare Advantage plan. -
Blue Cross NC appeals state's decision to award Aetna state health plan contract
Blue Cross and Blue Shield of North Carolina is appealing North Carolina's decision to award its state employee health plan contract to Aetna. -
Vanderbilt Health dropping Humana, Wellcare Medicare Advantage plans
Vanderbilt University Medical Center announced it will drop Humana and Wellcare of Tennessee Medicare Advantage plans effective April 1, NBC affiliate WSMV reported Jan. 10. -
9 ongoing payer-provider contract disputes and recent splits
Some payers and health systems have split in recent weeks, unable to meet year-end contract deadlines. Others are facing looming deadlines to reach agreements without disrupting patient care. Here are nine ongoing contract disputes and failed negotiations, as of Jan. 10. -
Regence BlueShield of Washington Medicare Advantage members still waiting for resolution with Optum-owned clinics
Despite coming to an agreement to keep Regence BlueShield of Washington commercial members in-network at the Polyclinic and Everett Clinic, the payer's Medicare advantage members are still left in limbo, The Daily Herald reported Jan. 10. -
Anthem Blue Cross, Mary Washington Healthcare could split March 1
Anthem Blue Cross could go out of network with Fredericksburg, Va.-based Mary Washington Healthcare if the two sides can't agree on a new contract by March 1, The Free Lance-Star reported Jan. 7. -
Centene, Missouri health system split, affecting foster care children and families
Centene and Springfield, Mo.-based CoxHealth will go out of network Feb. 16 after the two sides were unable to reach a new contract agreement, Springfield News-Leader reported Jan. 9. -
Why North Carolina unanimously chose Aetna over BCBS
Cost savings and more price transparency were cited as reasons why North Carolina ended a 40-year relationship with Blue Cross Blue Shield and chose Aetna to administer employee health benefits. -
BCBS Texas, Ascension Texas could split, affecting 66,000 patients
Blue Cross Blue Shield of Texas and Ascension hospitals in Texas are facing a looming Feb. 1 deadline to avoid a split that could impact 66,000 patients, the Austin-American Statesman reported Jan. 6.
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