5 recently inked payer-provider contracts

Aetna, UnitedHealthcare and BCBS Texas have all finalized network provider agreements with health systems since Oct. 31:

  1. Aetna and Allentown, Pa.-based Lehigh Valley Health Network reached a deal Nov. 17, avoiding a contract split that would have affected thousands of patients by March. Aetna members with commercial or Medicare Advantage Plans can now continue receiving in-network care with the system.

  2. UnitedHealthcare and Raleigh, N.C.-based WakeMed signed a multiyear contract that restores in-network access to 20,000 patients on Nov. 15. The two had been out of network since June 1. The new contract includes coverage for commercial and Medicare Advantage members, including D-SNP plans. The three-year contract does not include Medicaid, Medicare supplement or ACA exchange plans.

  3. Aetna Medicare Advantage members will receive care at Urbana, Ill.-based Carle Health after the two sides reached a tentative contract agreement, CBS affiliate WCIA reported Oct. 31. The dispute raised concerns among 11,000 Illinois state retirees, as Aetna Medicare Advantage will be the only option offered to former state employees in 2023.

  4. UnitedHealthcare and Fort Lauderdale, Fla.-based Broward Health reached an agreement Oct. 31 after being out of network with each other since April. The contract includes commercial, individual, Medicare Advantage and Medicaid plans.

  5. Blue Cross and Blue Shield of Texas and Amarillo-based Baptist St. Anthony Health System reached an agreement Oct. 31. The health system was set to go out of network with BCBS if a new agreement was not reached by Dec. 7. The agreement maintains in-network access to care for members of all BCBS plans.

Copyright © 2023 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.


Featured Webinars

Featured Whitepapers

Top 40 articles from the past 6 months