Norfolk, Va.-based Sentara Health ended negotiations with Anthem Blue Cross and Blue Shield of Virginia on 2027 contract extensions for Medicare Advantage, Medicaid and ACA exchange plans. An Oct. 5 update on Sentara’s website said the health system set an…
Contracting
The Department of Veterans Affairs has awarded Optum Serve a 10-year contract worth up to $30 billion to build and administer its national dental network. The network is set to be fully in place within a year of the award…
Austin, Texas-based St. David’s HealthCare, a partnership between Nashville, Tenn.-based HCA Healthcare and two nonprofits, is set to go out of network with Cigna Oct. 1. St. David’s hospitals, ASCs and affiliated hospital-based physicians in Texas will no longer be…
Jacksonville, Fla.-based Baptist Health and Cigna Healthcare announced a multiyear agreement Sept. 23 after the health system went out of network in June. Effective immediately, the agreement restores in-network access to providers, clinics and hospitals. A Baptist news release said…
Public threats by hospitals or insurers to end network contracts are concentrated in markets where neither side dominates, according to a study published Sept. 23 in Health Affairs. The study, by researchers at Brown University in Providence, R.I., examined 14,918…
Raleigh, N.C.-based WakeMed has reached a three-year contract for UnitedHealthcare’s employer-sponsored commercial plans, effective Oct. 15. WakeMed shared the update Sept. 17. The contract will grant members in-network access to hospitals, outpatient clinics and specialty physicians. An archived page from…
Immediate jeopardy has been fully removed at Ascension St. Thomas Hospital in Nashville, Tenn., following a Sept. 4 revisit survey, according to a Sept. 16 letter obtained by Becker’s. But a 99-page Statement of Deficiencies shows the hospital remains out…
Montgomery, Ala.-based Jackson Hospital exited bankruptcy Sept. 14, its president and CEO John Quinlivan confirmed to Becker’s. The hospital’s emergence from bankruptcy comes about one month after it signed a four-year agreement with Blue Cross Blue Shield of Alabama. The…
More than 150 independent rural hospitals across eight states have banded together into clinically integrated networks over the past three years, betting that shared scale, data and negotiating leverage can keep them out of the arms of consolidating systems and…
New York City-based Mount Sinai Health System and EmblemHealth have come to an agreement that allows continued access for new patients with some government-backed coverage. “Based on recent productive discussions with EmblemHealth, we have decided to reopen our panels to…
