Greenville, N.C.-based ECU Health — a collaboration between East Carolina University and Vidant Health — will start leaving UnitedHealthcare’s network April 29, according to the insurer. If an agreement is not reached, ECU Health, including Vidant Medical Group, will be…
Contracting
New York City-based Mount Sinai released a 34-minute podcast on March 13, detailing the health system’s contracting dispute with Anthem. “At Thanksgiving, [Anthem] inexplicably just said, ‘We are not doing anything we agreed to, and we’re not talking to you…
The North Carolina State Health Plan will not extend its contract with Aetna into 2028, and instead is seeking bids for its coverage of state workers and retirees, the state treasurer’s office confirmed to Becker’s March 12. “This administration has…
Spartanburg (S.C.) Regional Healthcare System is slated to go out of network with Aetna commercial and Medicare Advantage plans April 15, according to the system’s website. The health system said its misalignment with the insurer stems from their Medicare contract,…
Through a multiyear agreement, Farmington-based University of Connecticut Health will go back in network for Aetna commercial and Medicare Advantage members starting March 1, an Aetna spokesperson confirmed to Becker’s Feb. 25. “This new agreement ensures continued access to high-quality,…
Advertisement
Connecticut will continue contracting with Anthem Blue Cross and Blue Shield and Quantum Health to administer the state’s employee health plan and municipal partnership plan, which together cover more than 250,000 state and municipal workers, retirees and their dependents. Under…
There was a time when a hospital contract renewal was one of the more boring events in healthcare. Health systems and payers would work through rate disputes in private, and patients rarely knew the process was happening, let alone that…
CommonSpirit Health’s Tennessee and Georgia facilities (formerly CHI Memorial), went out of network with Cigna Healthcare on Feb. 1. The network split affects individuals covered by Cigna’s commercial Open Access Plus PPO and its narrower-network Local Plus plan. The affected…
Nevada Medicaid is seeking proposals from insurers to offer a Coordination Only Dual Eligible Special Needs Plan. Proposals are due Feb. 17, with a contract expected to run from Jan. 1, 2027 through Dec. 31, 2030. The state may award…
More than 850,000 members of Horizon NJ Health, the managed Medicaid plan operated by Horizon Blue Cross Blue Shield of New Jersey, will lose in-network access to CVS pharmacies after April 30. The insurer is advising affected members to transfer…