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UnitedHealthcare, WakeMed reach network agreement
UnitedHealthcare and Raleigh, N.C.-based WakeMed have signed a multi-year contract that restores in-network access for thousands of patients. -
Where Centene has some of its largest government contracts
Centene is the largest Medicaid managed care organization, serving 15.7 million low-income members nationwide. According to federal policy publication ExecutiveGov, these are some of the company's largest government contracts with details publicly available: -
'It's like a shakedown': Payers, providers ditch the hushed voices in their fights
If payer-provider disputes were a reality TV show, just a few years ago viewers would have been hard to come by. -
Independent pharmacies get 2nd chance to join Express Scripts' Tricare network for 2023
The nearly 15,000 independent pharmacies dropped from Tricare's network could be reinstated, Military Times reported Nov. 14. -
CDPHP, St. Peter's Health Partners, trade jabs in contract dispute that could affect thousands
CDPHP and St. Peter's Health Partners are taking shots at each other during routine contract negotiations — but despite the bad blood, both sides say they anticipate reaching an agreement by the end of the year, WAMC reported Nov. 11. -
5 ongoing payer-provider contract disputes
Dec. 31 deadlines are looming for some payer-provider contracts, while other disputes are dragging on and leaving patients out of network. Here are five updates on ongoing contract negotiations: -
Aetna, Lehigh Valley Health Network dispute will leave thousands out of network
Aetna and Allentown, Pa.-based Lehigh Valley Health Network will be out of network next year, The Morning Call reported Nov. 10. -
Unions want financial penalties for Horizon BCBS following premium hikes
New Jersey's police union is pressing state officials to divulge whether Horizon Blue Cross Blue Shield of New Jersey will face financial penalties following 20% higher premiums among some public employees, Bloomberg reported Nov. 8. -
Losing bidder's protest delays Nebraska Medicaid contract signing
Nebraska has delayed the signing of new Medicaid managed care contracts until a protest filed by a losing bidder is resolved, the Omaha World-Herald reported Nov. 6. -
BCBS Illinois, Springfield Clinic dispute still unresolved 1 year later
Nearly a year after contract negotiations between Blue Cross Blue Shield of Illinois and Springfield Clinic fell through, the two sides are still negotiating without a resolution in sight, WCIA reported Nov. 3. -
Cigna spending $200M to integrate Express Scripts with Centene
Cigna is spending $200 million to integrate Express Scripts as Centene's new pharmacy benefit manager for 20 million members starting in 2024. -
UnitedHealthcare, Upstate University Hospital dispute could affect 20,000 patients
About 20,000 patients could be left out of network if UnitedHealthcare and Syracuse, N.Y.-based SUNY Upstate University Hospital are unable to reach a new contract before the current one expires Dec. 31, syracuse.com reported Nov. 3. -
Carle Health, Aetna ink contract
Carle Health will treat Aetna Medicare Advantage members after the two sides reached a tentative contract agreement, CBS affiliate WCIA reported Oct. 31. -
Broward Health, UnitedHealthcare strike new deal after terminating contract
Six months after Fort Lauderdale, Fla.-based Broward Health went out of network with UnitedHealthcare, the two sides have reached a multi-year agreement. -
BCBS Texas, Baptist St. Anthony settle on new contract
Amarillo, Texas-based Baptist St. Anthony Health System will avoid leaving Blue Cross and Blue Shield of Texas' network after the two sides were able to reach an agreement Oct. 31. -
7 recently inked payer-provider contracts
These are seven recently inked network contracts between hospitals and health systems and payers reported by Becker's since Oct. 7: -
Amedisys strikes value-based contract with Aetna
In-home care provider Amedisys has inked a value-based contract to provide care to Aetna Medicare Advantage members. -
DC mayor fires official who took Elevance job, citing ethical concerns with Medicaid contracts
Washington, D.C. Mayor Muriel Bowser has terminated one of her top officials after he publicly accepted a job at Elevance Health just days after the city awarded a Medicaid contract to an Elevance subsidiary, The Washington Post reported Oct. 26. -
Aspirus Health, Anthem Blue Cross negotiations 'stalled'
Anthem Blue Cross Blue Shield's contract with Wausau, Wis.-based Aspirus Health is on uncertain terms as the deadline to negotiate a new contract approaches, CBS affiliate WSAW reported Oct. 26. -
BCBS Tennessee, CHI Memorial Hospital ink contract
CHI Memorial Hospital Georgia will be in-network with several Blue Cross Blue Shield Tennessee plans beginning Nov. 1.
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