Payer Contracting

UnitedHealthcare and St. Louis-based SSM Health have reached a multi-year agreement Jan. 20, amid a contract extension through Jan. 31, according to a news release shared with Becker’s. The agreement ensures individuals with commercial and Medicaid plans can still receive…

Anthem Blue Cross and Montage Health’s Community Hospital of the Monterey Peninsula (Calif.) are still in negotiations ahead of their end-of-month contract deadline, both organizations confirmed. The change would affect members across Anthem Blue Cross’ self-insured employer-sponsored individual plans, commercial…

Four hospitals under Grand Rapids and Southfield, Mich.-based Corewell Health are no longer in UnitedHealthcare’s network, according to a Dec. 31 update from the insurer. As of Jan. 1, UnitedHealthcare does not cover the Dearborn, Taylor, Trenton and Wayne hospitals…

Cigna and Chattanooga, Tenn.-based Memorial Hospital — under Chicago-based CommonSpirit Health, formerly CHI Memorial — have not reached an agreement ahead of their Feb. 1 contracting deadline. “We have a longstanding relationship with Memorial Hospital and want them to remain…

New York City-based Mount Sinai physicians are no longer in Anthem’s network as of Jan. 1, according to both organizations. The contract expired Dec. 31, 2025, following negotiations which began in the spring. All Mount Sinai facilities will go out…

As the end of 2025 approaches, so do a handful of payer-provider agreements.  Earlier this year, the number of contract disputes were down. While some insurers and health systems reach a resolution — either before or even after their deadlines…

Cigna and Dallas-based Tenet Healthcare reached an agreement in their contract dispute, a Cigna spokesperson confirmed Dec. 31 to Becker’s. Tenet has 64 hospitals, nearly 370 ambulatory surgical centers and roughly 2,000 providers across the country. “An agreement has been…

Health Care Service Corp.’s Blue Cross and Blue Shield of Texas and Austin-based Ascension Texas reached an agreement Dec. 31, just ahead of their end-of-year deadline, according to the insurer. Now, all members — spanning commercial, ACA and Medicare Advantage…

Blue Cross and Blue Shield of Kansas has reached an agreement with Topeka-based University of Kansas Health System St. Francis Campus, also owned by Nashville, Tenn.-based Ardent Health Services, the insurer’s website said Dec. 24. The agreement retains coverage for…

CMS is terminating its Medicare Advantage contract with American Health Plan of Texas after the insurer failed to meet minimum quality standards for three consecutive years. The agency issued a notice of termination Dec. 17 to the Franklin, Tenn.-based company,…