Farmington-based University of Connecticut Health’s contract with Aetna expired Dec. 1. UConn Health, including John Dempsey Hospital and the UConn Medical Group, will no longer be covered. This status does not apply to retirees of state government employment and Aetna…
Payer Contracting
Blue Cross and Blue Shield of Kansas has not yet reached an agreement with Topeka-based University of Kansas Health System St. Francis Campus, also owned by Nashville, Tenn.-based Ardent Health Services, the organizations confirmed to Becker’s. The current contract for…
Wausau, Wis.-based Aspirus Health’s St. Luke’s Hospital in Duluth, Minn., is set to go out of network with Blue Cross and Blue Shield of Minnesota at the end of the year, according to a patient letter on the hospital’s website.…
UnitedHealthcare and St. Louis-based SSM Health are set to go out of network in 2026 without a new contract in place. Individuals with employer-sponsored commercial or Medicaid coverage from UnitedHealthcare will lose in-network access to SSM Health’s hospitals, facilities and…
Chapel Hill-based University of North Carolina Health and Cigna missed their Dec. 1 contract negotiation deadline, according to both organizations. UNC Health hospitals, clinics and providers are all out of network, but some patients may qualify for continuity of care…
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Columbus, Ohio-based Mount Carmel Health System, a member of Livonia, Mich.-based Trinity Health, is back in network with Humana, according to both the health system and the insurer. Mount Carmel confirmed the agreement will span multiple years and reinstate access,…
Cincinnati-based Bon Secours Mercy Health reached an agreement with Humana to remain in network with the insurer Nov. 17, according to both the insurer and health system. “Humana and Bon Secours Mercy Health have agreed upon terms that will preserve…
Afton, Wyo.-based Star Valley Health will return to Cigna’s network on Dec. 15, according to a Nov. 14 news release from the health system. Negotiations have been going for months. Star Valley Health sent a letter to patients after reaching…
Insurer Harvard Pilgrim Health Care, a subsidiary of Point32Health, and Brewer, Maine-based Northern Light Health are partnering to expand the Maine’s Choice Plus product across the state, available on the ACA marketplace, according to a Nov. 17 news release. Maine’s…
The Office of the New York City Comptroller approved the NYC Employees PPO plan, according to a Nov. 14 news release. Under the new health plan, EmblemHealth and UnitedHealthcare will take over the contract from GHI Comprehensive Business Plan, under…