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Kentucky health system dropping UnitedHealth, Centene Medicare Advantage plans
Louisville, Ky.-based Baptist Health will be out of network with UnitedHealthcare and Centene's Wellcare Medicare Advantage plans, effective Jan. 1, 2024. -
Adventist, Blue Shield of California cut ties across 17 hospitals
Roseville, Calif.-based Adventist Health and Blue Shield of California have gone out of network across 17 hospitals. -
Arizona awards long-term managed care contracts to UnitedHealth, Centene
Arizona has awarded long-term managed care contracts to Centene and UnitedHealthcare. -
UnitedHealthcare, Baptist Health near split date
Little Rock, Ark.-based Baptist Health could go out of network with UnitedHealthcare Medicare Advantage plans if the sides are unable to reach an agreement by Dec. 31, Arkansas Money & Politics reported Nov. 30. -
Anthem, Wellstar agree to 4-year contract
Anthem Blue Cross and Blue Shield of Georgia and Marietta, Ga.-based Wellstar Health System have agreed to a new contract that will keep Wellstar patients in network with the payer through May 2027. -
Pennsylvania health system drops Cigna
West Reading, Pa.-based Tower Health will be out of network for all Cigna Healthcare members starting Jan. 1 following a disagreement over reimbursement rates, the Reading Eagle reported Nov. 24. -
Tennessee extends Medicaid contracts without Centene
Tennessee has extended three managed Medicaid contracts with UnitedHealthcare, BCBS and Elevance's Amerigroup for one additional year, the Tennessee Lookout reported Nov. 15. -
Cigna, MUSC strike new deal
Charleston, S.C.-based MUSC Health and Cigna have reached a new contract agreement just weeks before their contract was set to expire, The Post and Courier reported Nov. 14. -
Aetna, OHSU reach new deal
Portland-based Oregon Health & Science University and Aetna have averted a looming contract split. -
BCBS Illinois fined a third time for network adequacy law violations
The Illinois Department of Insurance has fined Health Care Service Corp., the parent company of Blue Cross Blue Shield of Illinois, nearly $1.2 million in less than two years for violating the state's Network Adequacy and Transparency Act, which requires payers to publish complete and accurate provider directory information. -
Humana, Memorial Hermann at impasse as deadline nears
Houston-based Memorial Hermann issued termination notices for Humana's Medicare Advantage HMO and PPO networks and could go out of network if a new deal is not reached by Jan. 1, Houston Public Media reported Jan. 1. -
Georgia seeks bidders for $6B Medicaid contracts
Georgia is seeking bids from payers to manage the state's Medicaid program. -
Aetna, OHSU at odds over new contract
About 30,000 Aetna beneficiaries are at a risk of losing coverage at Portland-based Oregon Health & Science University if the sides are unable to agree on a new contract by Dec. 31, the Lund Report reported Oct. 24. -
Ohio health system dropping Anthem, Humana Medicare Advantage plans
Zanesville, Ohio-based Genesis Healthcare System is dropping Anthem and Humana Medicare Advantage plans in 2024. -
Phoenix Children's, Aetna strike deal
Phoenix Children's and Aetna have reached a new contract agreement. -
Oregon health system drops Humana, Centene Medicare Advantage plans
St. Charles Health System in Bend, Ore., will no longer be in-network with Humana and Centene subsidiaries HealthNet and WellCare Medicare Advantage plans in 2024. -
Southeast Georgia Health System to end Medicare Advantage contract with Centene subsidiary
Brunswick-based Southeast Georgia Health System will terminate its contract with the WellCare Medicare Managed Care Plan on Dec. 8. -
Oregon health system threatening Medicare Advantage split strikes deal with PacificSource
A health system that encouraged its patients to avoid Medicare Advantage plans has found common ground with at least one MA insurer. -
Indiana drops Molina from $3.8B Medicaid long-term services contract
Molina Healthcare will no longer administer Indiana Pathways for Aging, a long-term services Medicaid contract, the company said in regulatory filings published Oct. 2. -
Anthem, Bon Secours end bitter dispute
Cincinnati-based Bon Secours Mercy Health and Anthem Blue Cross and Blue Shield have reached a contract agreement through 2028, ending one of the more public payer-provider reimbursement disputes of this year.
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