-
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. -
50,000 Medicaid members lose coverage at Bon Secours Mercy amid pay fight with Anthem
Nearly 50,000 Medicaid enrollees in Ohio are caught in the middle of a commercial reimbursement fight between Anthem Blue Cross Blue Shield and Cincinnati-based Bon Secours Mercy Health. -
Anthem BCBS, Maine hospitals ink in-network contract
Anthem Blue Cross Blue Shield and two hospitals in Maine operated by Tewksbury, Mass.-based Covenant Health have reached an in-network agreement. -
Idaho drops Optum, awards $1.2 billion behavioral health contract to Centene
Idaho has dropped Optum as the managed care contractor for its behavioral health plan and awarded a four-year, $1.2 billion contract to Centene's Magellan Healthcare subsidiary. -
UnitedHealthcare, New York hospital at impasse ahead of June 30 deadline
Syracuse, N.Y.-based St. Joseph's Hospital Health Center will go out of network with UnitedHealthcare if the two sides are unable to reach a new contract before July 1. -
Cigna, Hackensack Meridian extend contract
Cigna and Edison, N.J.-based Hackensack Meridian Health have extended their commercial agreement until April 2025. -
BCBS Tennessee, Methodist Le Bonheur reach deal
Blue Cross Blue Shield of Tennessee and Memphis, Tenn.-based Methodist Le Bonheur Healthcare reached an agreement regarding employer-based and marketplace plans, the Memphis Commercial Appeal reported June 14. -
Oklahoma awards Medicaid contracts to Aetna, Centene, Humana
Oklahoma awarded three payers its first Medicaid managed care contracts. -
Cigna, Allegheny Health Network face July 1 split
Update: Allegheny Health Network signed a one-year in-network agreement with Cigna for commercial members that is effective July 1, the Pittsburgh Business Journal reported June 29. -
UnitedHealthcare, Phoenix Children's reach new deal just before deadline
UnitedHealthcare and Phoenix Children's reached an eleventh-hour agreement to keep the system's patients in network with the payer. -
BCBS Texas, Hendrick Health extend contract deadline to July 31
Blue Cross and Blue Shield of Texas and Abilene, Texas-based Hendrick Health have extended their contract by two months as they continue to work out a potential new deal. -
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 reach in-network agreement
June 26 update: The University of Utah Health and Regence BlueCross BlueShield reached a multi-year deal to preserve coverage for Regence members at University of Utah Health facilities. -
Bon Secours Mercy, Anthem BCBS plans spar over reimbursement rates
Cincinnati-based Bon Secours Mercy Health and several Anthem Blue Cross Blue Shield plans are at odds over commercial reimbursement rates that could affect coverage for individuals enrolled in Medicaid managed care and Medicare Advantage plans. -
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 reach in-network agreement
June 9 update: Premera Blue Cross and UW Medicine reached a new multi-year agreement, effective July 1, ensuring no disruption for Premera members receiving care at UW Medicine. -
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 reach in-network agreement
Editor's note: The headline and article were updated Aug. 4 to reflect that Chesapeake Regional Healthcare and Cigna Healthcare reached a two-year agreement that is effective through July 31, 2025.
Page 5 of 50