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2 payers win Rhode Island Medicaid contracts, BCBS loses out
UnitedHealthcare of New England and Neighborhood Health Plan of Rhode Island were selected to manage Rhode Island's Medicaid program over the next five years, the Rhode Island Current reported July 16. -
Highmark loses 26,000-member contract
The largest health insurance purchaser in Western New York will award its employee health plan to Univera Healthcare, Buffalo News reported July 11. -
Florida system's primary care physicians splitting with BCBS Medicare Advantage
Fort Myers, Fla.-based Lee Health's Physician Group primary care providers will be out of network with Florida Blue's Medicare Advantage plans by September. -
Kansas rejects Aetna's Medicaid challenge
The Kansas Department of Administration rejected challenges to the state's Medicaid contract procurement process from Aetna and CareSource, the Kansas Reflector reported July 8. -
Court sides with Aetna over BCBS for North Carolina state health plan
A North Carolina state court has sided with the state in its decision to award Aetna its health plan contract for public employees over Blue Cross Blue Shield of North Carolina. -
Sentara Health Plans, Virginia Children's Care Network strike value-based partnership
Sentara Health Plans and Virginia Children's Care Network are launching a value-based partnership to improve outcomes and lower costs for children enrolled in Medicaid. -
UnitedHealthcare, Trinity hospitals split in 6 states
Several Trinity Health hospitals from coast to coast are now out of network with UnitedHealthcare amid reimbursement disputes between the organizations. -
Aetna strikes deal with Illinois system
Aetna and Springfield, Ill.-based Hospital Sisters Health System have reached a tentative agreement, avoiding a contract termination that was set to take effect July 1. -
Cook Children's Health Plan sues Texas over Medicaid contracts
Cook Children's Health Plan is challenging Texas's Medicaid contract awards in court. -
Montana to award state health plan to BCBS
Blue Cross and Blue Shield of Montana has been selected again by the state to administer its employee health plan, which covers nearly 28,000 people. -
Key union pulls support for NYC's Aetna Medicare Advantage plan
New York City's teachers union has pulled support for the city's shift to Medicare Advantage, further complicating the controversial effort, the New York Daily News reported June 24. -
Texas payer warns of closure amid new state Medicaid contracts
Driscoll Health Plan is warning about its future ability to remain operational following Texas' decision not to award the payer a Medicaid contract earlier this year. -
7 state, federal health plan contract shakeups
State health plan contracts, which provide coverage to thousands of employees and their dependents, can be worth hundreds of millions a year. -
Aetna, Hackensack Meridian facing July 1 split
Ediitor's note: This article was updated to reflect that Aetna and Hackensack Meridian Health reached a contract agreement on June 18. No patient or member coverage will be disrupted. -
Blue Shield of California wins state health plan over Anthem
Blue Shield of California snagged a contract managing care for 400,000 California state employees. -
Texas rejects insurers' Medicaid contract protests
Texas officials rejected protests from eight insurers challenging its Medicaid contract awards. -
Baylor Scott & White, BCBS Texas facing October 1 split
Editor's note: this article was updated June 28 to reflect that Baylor Scott & White Health and Blue Cross and Blue Shield of Texas extended their contract deadline to Oct. 1. -
UnitedHealthcare, Alabama's largest private health system split
Mobile, Ala.-based Infirmary Health is out of network with UnitedHealthcare as of June 4. -
Medicaid managed care contracts: 7 updates
Seven states have awarded new managed Medicaid contracts in 2024. Not every award process has been finalized and several organizations are suing over denied contracts. -
Aetna to challenge Kansas Medicaid contract awards, UCare stands down
Aetna plans to protest Kansas' Medicaid contract awards, while UCare will stand down after losing an effort to win a contract in the state.
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