Payer Contracting

Aetna has snagged a contract to manage healthcare benefits for more than 150,000 Pennsylvania state employees and their dependents.  The Pennsylvania Employees Benefit Trust Fund selected Aetna to provide coverage to its employees and their dependents, and for around 11,000…

Nevada plans to award contracts to five insurers to manage the state's Medicaid program through 2029. 

Illinois has awarded dual special needs contracts to Humana, Molina Healthcare, Centene's Meridian and Aetna.

Bon Secours Mercy Health and Cigna Healthcare will be out of network across eight Virginia hospitals on April 1.

Aetna and the University of Texas (Galveston) Medical Branch are back in network after a four-year split. 

After more than three months out of network, Phoenix Children's and Blue Cross Blue Shield of Arizona have reached a multiyear agreement. 

Albany (N.Y.) Med Health System and Capital District Physicians' Health Plan reached a new two-year contract agreement and ended a dispute over alleged underpayments.

Portland-based Oregon Health & Science University will go out of network with UnitedHealthcare if the two sides are unable to reach a new contract agreement by March 31, Willamette Week reported Jan. 30. 

Cigna Medicare Advantage members in Delaware are eligible for a special enrollment period after a contract split between the insurer and Dover-based Bayhealth.

New Hampshire's insurance commissioner will mediate contract negotiations between Anthem Blue Cross Blue Shield and Nashua-based St. Joseph Hospital after the organizations went out of network on Jan. 1.