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Cigna Medicare Advantage split with Delaware system triggers special enrollment period
Cigna Medicare Advantage members in Delaware are eligible for a special enrollment period after a contract split between the insurer and Dover-based Bayhealth. -
New Hampshire regulators intervene in Anthem, hospital contract fight
New Hampshire's insurance commissioner will mediate contract negotiations between Anthem Blue Cross Blue Shield and Nashua-based St. Joseph Hospital after the organizations went out of network on Jan. 1. -
Scripps, Anthem network split affects 125,000
Scripps Health and Anthem Blue Cross are out of network as of Jan. 1. -
Aetna, Providence hospitals in Oregon split
Aetna is now out of network with Providence hospitals in Oregon. -
UnitedHealthcare, Virginia Mason Franciscan Health strike new deal
UnitedHealthcare and Tacoma, Wash.-based Virginia Mason Franciscan Health have reached a new multi-year contract. -
Humana Medicare Advantage plans, CommonSpirit Colorado hospitals to split Jan. 1
Humana and CommonSpirit hospitals in Colorado will go out-of-network Jan. 1, 2025. -
Georgia Medicaid shakeup could force 3 in 4 beneficiaries to change plans: Centene CEO
Georgia's Medicaid contract awards could cause three in four Medicaid recipients in the state to switch plans, according to Centene CEO Sarah London. -
Georgia to award 4 Medicaid contracts
Georgia will award Medicaid contracts to four Medicaid managed care organizations. -
Humana spread Medicare Advantage 'misinformation,' Minnesota AG alleges
Humana misrepresented the providers its Medicare Advantage plans will be in-network with in 2025, Minnesota Attorney General Keith Ellison alleged. -
UnitedHealthcare, 14-hospital system strike new agreement
Editor's note: This story was updated Nov. 15 to reflect Huntsville Hospital Health System reached a new contract agreement with UnitedHealthcare. Huntsville (Ala.) Hospital Health System reached a new contract agreement with UnitedHealthcare, a day before several hospitals were set to go out of network. -
Michigan cancels new D-SNP contracts, reopens bidding
Michigan has canceled contracts with nine health plans to manage the state's Medicaid program for individuals dually-eligible for Medicare and Medicaid. -
UnitedHealthcare, Essentia reach Medicare Advantage agreement
UnitedHealthcare and Duluth, Minn.-based Essentia Health have reached an agreement that will keep the health system in the payer's Medicare Advantage network in 2025. -
UnitedHealthcare, HealthPartners reach Medicare Advantage agreement
Bloomington, Minn.-based HealthPartners has reached an agreement on a multi-year contract with UnitedHealthcare. -
Phoenix Children's, BCBS Arizona split
Phoenix Children's is out of network with Blue Cross Blue Shield of Arizona as of Oct. 31. -
Ohio awards D-SNP contracts to 4 payers
Ohio has awarded managed care contracts to four insurers to serve residents dually eligible for Medicaid and Medicare. -
Texas delays Medicaid contract awards
Texas will delay awarding Medicaid contracts until 2025, pausing a shakeup that could have led 1.8 million beneficiaries to switch plans, The Dallas Morning News reported Oct. 31. -
CMS lifts enrollment suspension on UnitedHealthcare Medicare Advantage plan
CMS has lifted an enrollment suspension on a UnitedHealthcare subsidiary's Medicare Advantage plan following three years of not meeting the required 85% medical loss ratio. -
Regence BlueShield of Idaho to keep state contract after Blue Cross suit dismissed
Regence BlueShield of Idaho will remain as the state's health plan administrator after a state judge dismissed a lawsuit from Blue Cross of Idaho that looked to invalidate the new contract, the Idaho Capital Sun reported Oct. 14. -
Rhode Island reevaluating Medicaid contracts after BCBS, Tufts appeal
Rhode Island officials agreed to reevaluate bids for its five-year Medicaid contract after two payers appealed the decision, the Rhode Island Current reported Oct. 16. -
UnitedHealthcare, WellSpan near split date
UnitedHealthcare and York, Pa.-based WellSpan Health remain at odds over a new contract as their current deal is set to expire Oct. 31, ABC affiliate WHTM reported Oct. 14.
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