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BCBS Oklahoma, Stillwater Medical Center strike agreement
Blue Cross Blue Shield of Oklahoma and Stillwater (Okla.) Medical Center have reached an agreement that will keep Blue Traditional and Blue Choice PPO beneficiaries in network with the health system through 2026. -
HCA, Cigna reach contract agreement in Tennessee, Kentucky
Editor's note: This article and its headline were updated Oct. 4 to reflect the fact that HCA and Cigna Healthcare came to a contract agreement that allows Cigna employer-sponsored and Medicare Advantage plan members to access all HCA facilities in Tennessee and Kentucky. Cigna's exchange plans remain out of network with HCA. -
Oregon health system terminates contract with UnitedHealthcare
Corvallis, Ore.-based Samaritan Health Services has terminated its commercial and Medicare Advantage contracts with UnitedHealthcare. -
Texas awards 7 payers new contracts to manage Medicaid long-term services
Seven payers, including UnitedHealthcare, Molina Healthcare and Centene subsidiary SuperiorHealth Plan, were awarded contracts to manage Texas' STAR +PLUS program, which provides Medicaid to adults with disabilities or are 65 years of age and older. -
Major payers drop senior companionship company following patient abuse allegations
Humana, Aetna and Molina are not renewing their contracts with senior companionship company Papa following allegations of abuse against patients or company employees, Bloomberg reported Sept. 11. -
Empire BCBS, Catholic Health ink value-based contract
Empire BlueCross BlueShield and Rockville Centre, N.Y.-based Catholic Health have partnered on a multi-year value-based payment and care delivery model. -
Health system-payer negotiations go awry
Contract negotiations between health systems and insurers are a common occurrence across healthcare, but every so often talks disintegrate and disputes make their way into the public eye. -
Cigna, Valley Children's split
Cigna is out of network with some of Madera, Calif.-based Valley Children's Healthcare's facilities. -
Michigan seeks bids for Medicaid program overhaul
Michigan is seeking contractors to manage Medicaid care for more than 2.2 million people. -
Anthem slaps Bon Secours with cease and desist amid escalating contract fight
Anthem Blue Cross Blue Shield of Virginia has filed a cease and desist order against Cincinnati-based Bon Secours Mercy Health for allegedly denying access to Anthem's Medicaid patients amid a tense reimbursement rate dispute between the organizations, ABC affiliate WRIC reported Aug. 22. -
Centene loses challenge for $65B Tricare contract
The Government Accountability Office has rejected a challenge from Centene subsidiary Health Net over the Defense Department's decision to award the contract to manage Tricare's western region to TriWest Healthcare Alliance, Military.com reported Aug. 15. -
Anthem and Bon Secours Mercy can't agree on reimbursement rates. Why are Medicaid and Medicare patients losing coverage?
A growing number of older adults and low-income individuals are losing health insurance coverage because of a reimbursement rate dispute between Anthem Blue Cross Blue Shield plans and Cincinnati-based Bon Secours Mercy Health. -
New Mexico awards Medicaid managed care contracts, drops Centene
New Mexico will award Medicaid managed care contracts to Blue Cross Blue Shield of New Mexico, Presbyterian Health Plan, United Health Plan and Molina Health Plan. -
UnitedHealthcare strikes deal with Arkansas system amid talks with 2 others
UnitedHealthcare patients will be back in network with Conway (Ark.) Regional Health System Aug. 15 after the sides were able to come to an agreement, Arkansas Business reported Aug. 9. -
Aetna, Phoenix Children's split
Phoenix Children's patients will be out of network with Aetna after the two sides were unable to reach an agreement by their Aug. 6 deadline. -
Why a South Dakota health system is dropping Medicare Advantage
Brookings (S.D.) Health System will no longer be in-network with any Medicare Advantage plans in 2024, the Brookings Register reported Aug. 7. -
UnitedHealthcare, Orlando Health reach contract agreement
UnitedHealthcare and Orlando (Fla.) Health have reached an agreement that will keep 70,000 patients in network at the health system, ABC affiliate WFTV reported Aug. 1. -
Centene snags Texas Medicaid contract for aged, blind, disabled population
Centene subsidiary Superior HealthPlan was awarded a new six-year contract to administer Texas' Medicaid coverage for the aged, blind and disabled population. -
UnitedHealthcare, Orlando Health at impasse as contract deadline looms
Patients with UnitedHealthcare plans could go out of network at Orlando (Fla.) Health if the two sides are unable to reach a new contract by July 31, the Orlando Sentinel reported July 18. -
Highmark adds 2 health systems to network ahead of move
Pittsburgh-based Highmark Blue Shield has added two Southeastern Pennsylvania-based health systems ahead of its move into the region next year, the Philadelphia Business Journal reported July 19.
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