3 payer-provider contracts set to expire by 2026

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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 — a few are still pending, as of December.

Here are three contracts with ongoing negotiations:

Note: This is not an exhaustive list. To be included, please reach out to Elizabeth Casolo at ecasolo@beckershealthcare.com with your insurer’s or health system’s latest updates. This story was last updated Dec. 9.

1. Health Care Service Corp.’s Blue Cross and Blue Shield of Texas and Austin-based Ascension Texas have not reached an agreement. If the contract expires, the insurer’s commercial, ACA and Medicare Advantage plans would not cover Waco, Texas-based Ascension Providence nor its providers, or Austin-based Ascension Seton.

2. Blue Cross and Blue Shield of Kansas and Topeka-based University of Kansas Health System St. Francis Campus, also owned by Nashville, Tenn.-based Ardent Health Services, are still negotiating. Patients with respective Healthy Blue Medicaid and Medicare plans would not be affected if the insurer ends coverage.

3. The agreement between UnitedHealthcare and St. Louis-based SSM Health is also poised for expiration. Medicaid and employer-sponsored commercial plans would be affected, according to the insurer’s website.

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