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Northside Hospital, Anthem settle on contract after legal dispute
Atlanta-based Northside Hospital and Anthem Blue Cross and Blue Shield in Georgia have agreed to a new contract after a dispute that included a hearing before the Georgia Supreme Court. -
Centene subsidiary awarded Delaware Medicaid contract
Centene subsidiary Delaware First Health has been awarded a statewide Medicaid managed care contract. -
5 recent payer-provider contract agreements
From UnitedHealthcare to Anthem and Mayo Clinic to Wellstar Health System, these are five network contracts recently inked between payers and providers: -
Mississippi to review BCBS' network adequacy amid contract fallout with UMMC
A 90-day grace period for in-network care coverage expired July 1 between Blue Cross and Blue Shield of Mississippi and the University of Mississippi Medical Center, leading the state's insurance commissioner to announce a targeted market conduct examination of the payer, according to Mississippi Today. -
Patient care coverage expires amid BCBS mediation with Mississippi Medical Center
Blue Cross & Blue Shield of Mississippi and the University of Mississippi Medical Center's mediation continues, but in-network care coverage expires July 1 for many Blue Cross patients at the hospital, Mississippi Today reported June 30. -
CareSource terminates Ohio marketplace contract with Cincinnati Children's
CareSource will be out of network with Cincinnati Children's Hospital beginning Aug. 1, the Cincinnati Enquirer reported June 28. -
Ascension Health Alabama mulling Cigna network exit amid contract impasse
Mobile-based Ascension Health Alabama could leave Cigna's network Aug. 13 if a new deal is not reached, the Birmingham Business Journal reported June 27. -
UnitedHealthcare, Wellstar reach new agreement
Marietta, Ga.-based Wellstar Health System will be back in network with UnitedHealthcare starting July 1, the Atlanta Journal-Constitution reported June 27. -
4 recent payer-provider contract terminations
Providers ranging from large health systems to independent practices have recently gone out of network with major payers: -
Time running short for Anthem deal, MaineHealth CEO says
Time is running out for MaineHealth's flagship hospital and Anthem to reach a deal, the health system's CEO, Andy Mueller, MD, said in a June 24 opinion piece on centralmaine.com. -
Mayo, UnitedHealthcare ink contract for Medicare Advantage members
Beginning Jan. 1, UnitedHealthcare's Medicare Advantage members will be in network at Mayo Clinic facilities in the Midwest under a new contract agreement between the two organizations, the Star Tribune reported June 23. -
Hill Country Memorial, BCBS Texas ink contract agreement
Blue Cross and Blue Shield of Texas and Fredericksburg-based Hill Country Memorial Hospital reached a contract agreement June 16 to keep the hospital in network and avoid disruptions in service, according to the Fredericksburg Standard-Radio Post. -
Maine provider, Anthem agree to new contract
A month after announcing plans to drop Anthem Blue Cross and Blue Shield, Scarborough, Maine-based Coastal Women's Healthcare and the payer said they've reached an agreement on a new contract, Maine Public Radio reported June 22. -
OU Health out of network with UnitedHealthcare; negotiations ongoing
Oklahoma City-based OU Health went out of network with UnitedHealthcare on May 1 amid a disagreement over reimbursement rates, though negotiations are ongoing. The move means thousands of UnitedHealthcare members cannot receive covered care at OU Health facilities, according to KFOR. -
BCBS, U of Mississippi Medical Center negotiations moving at 'snail's pace,' state says
Mediation for contract negotiations between Blue Cross & Blue Shield of Mississippi and the University of Mississippi Medical Center has started but is moving at a "snail's pace," according to the state's insurance commissioner, Mississippi Today reported June 7. -
Aetna selected for Medicare Advantage contract in Connecticut
Connecticut has selected Aetna for a three-year Medicare Advantage contract that will serve approximately 57,000 retirees and their dependents across the state, pending negotiations. -
As some Maine providers drop Anthem, others join
Two Northern Light Health hospitals in Maine are becoming tier 1 providers with Anthem, effective July 1, according to WCSH. -
UnitedHealthcare, WakeMed terminate contract
Beginning June 1, WakeMed is no longer a part of the UnitedHealthcare network. -
'We have no answers': Post-cancer patient facing thousands in medical bills after BCBS, Springfield Clinic contract termination
An Illinois man is facing thousands of dollars in cancer treatment bills from Blue Cross Blue Shield of Illinois after his Springfield Clinic oncologist went out of network following a terminated contract between the payer and provider last year, WCIA reported May 31. -
U of Vermont Health Network, UnitedHealthcare strike new contract
The University of Vermont Health Network and UnitedHealthcare reached an agreement on a new contract, VTDigger reported May 27.
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