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New payer-provider contracts | 2023
New payer contracts Becker's has reported in 2023: -
Payer-provider contract disputes, splits | 2023
Here are the ongoing payer-provider contract disputes and splits Becker's has reported in 2023. -
University of Utah Health, Regence BCBS to split July 1
The University of Utah Health will be out of network with Regence Blue Cross Blue Shield on July 1 if a new contract is not in place between the parties. -
Mercy Health to split with Elevance managed care plans July 1 without new contract
Cincinnati-based Bon Secours Mercy Health said it will go out of network with Elevance Health Medicaid managed care plans on July 1 if the sides are unable to reach a new agreement. -
Aetna allocates $7.3M to improve cancer outcomes in Virginia
Aetna Better Health of Virginia provided $7.3 million in value-based care incentive payments to 22 federally qualified health centers in the state in an effort to increase screenings for diabetes as well as breast, cervical and colon cancer. -
Blue Cross Blue Shield of Massachusetts, Tufts Medicine strike 'pay-for-equity' contract
Blue Cross Blue Shield of Massachusetts and Boston-based Tufts Medicine agreed on a value-based payment contract that incorporates equity measures. -
UW Medicine, Premera Blue Cross could split July 1, affecting 175,000
The University of Washington Medical Center in Seattle will be out of network with Premera Blue Cross on July 1 if a new contract between the parties is not in place. -
Highmark Blue Shield inks contract with Temple Health
Philadelphia-based Temple Health will be in network with Highmark Blue Shield on Jan. 1, 2024 — pending regulatory approval — as the Pittsburgh-based payer expands into Southeastern Pennsylvania. -
Cigna, Chesapeake Regional to split June 1
Cigna Healthcare and Chesapeake (Va.) Regional Medical Center will be out of network June 1 for those with employer-sponsored health coverage. -
Sunshine Health, Johns Hopkins All Children's strike value-based care agreement
Centene subsidiary Sunshine Health and St. Petersburg, Fla.-based Johns Hopkins All Children's Care Network have entered into a two-year, value-based care agreement. -
BCBS Massachusetts adds 3 physician groups amid primary care shortage
Blue Cross Blue Shield of Massachusetts added three physician groups to its network as the payer said the state continues to experience a primary care physician shortage due to increased patient demand and more clinicians leaving the field. -
Humana adds value-based durable medical equipment contractors for Medicare Advantage members
Humana will contract with two durable medical equipment companies to provide medical devices to its Medicare Advantage members. -
Baton Rouge General strikes deal with Cigna, but Aetna impasse remains
Baton Rouge (La.) General has reached an agreement on a new contract with Cigna but remains out of network with Aetna, The Advocate reported May 9. -
UnitedHealthcare, Phoenix Children's at impasse as contract end date nears
Phoenix Children's will go out of network with UnitedHealthcare on June 1 if the sides are unable to reach an agreement on a new contract. -
Dignity Health hospital back in network with BCBS Arizona after split
Prescott, Ariz.-based Dignity Health Yavapai Regional Medical Center is back in network with Blue Cross Blue Shield of Arizona after the sides agreed to a new contract. -
UnitedHealthcare, Oklahoma system strike deal ahead of deadline
UnitedHealthcare and Tulsa, Okla.-based Hillcrest HealthCare System have agreed to a new contract, avoiding a split that was set to take effect May 1 if no agreement was in place. -
Aetna, University of California reach contract agreement
Aetna has reached a tentative contract agreement with the six University of California health systems, avoiding a split that would have affected thousands of patients, the Sacramento Bee reported April 22. -
Defense Health Agency stays with TriWest for $65.1B Tricare contract
The Defense Health Agency reaffirmed its decision to award a $65.1 billion contract to TriWest Healthcare Alliance to manage its Tricare West Region contract. -
BCBS Texas, Hendrick Health extend contract deadline
Blue Cross and Blue Shield of Texas and Abilene, Texas-based Hendrick Health have extended their contract another month to avoid a split between the organizations. -
Florida seeks bids for $38B Medicaid program
Florida is seeking proposals for payers to manage its $38 billion Medicaid program.
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