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…
Payer Contracting
Aetna and Providence Oregon have reestablished their contract, according to a Dec. 4 post from the hospital network. The multiyear agreement brings the hospitals back in network after nearly a year. The contract originally expired Dec. 31, 2024, OregonLive reported,…
Health Care Service Corp.’s Blue Cross and Blue Shield of Texas is still negotiating with Austin-based Ascension Texas as the end-of-year in-network deadline approaches. “We’re negotiating new contracts with Ascension facilities and hospitals. We’re working hard to reach new agreements,”…
Wausau, Wis.-based Aspirus Health’s St. Luke’s Hospital in Duluth, Minn., and Blue Cross and Blue Shield of Minnesota have reached an agreement to keep facilities in network through 2027, according to a Dec. 5 update on Aspirus Health’s website. “Our…
Ann & Robert H. Lurie Children’s Hospital of Chicago will not accept any ACA plans in 2026, according to the hospital’s website. “Lurie Children’s is currently not contracted and out of network with all exchange plans inside and outside of…
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Farmington-based University of Connecticut Health’s contract with Aetna expired Dec. 1. UConn Health, including John Dempsey Hospital and the UConn Medical Group, will no longer be covered. This status does not apply to retirees of state government employment and Aetna…
Blue Cross and Blue Shield of Kansas has not yet reached an agreement with Topeka-based University of Kansas Health System St. Francis Campus, also owned by Nashville, Tenn.-based Ardent Health Services, the organizations confirmed to Becker’s. The current contract for…
UnitedHealthcare and St. Louis-based SSM Health are set to go out of network in 2026 without a new contract in place. Individuals with employer-sponsored commercial or Medicaid coverage from UnitedHealthcare will lose in-network access to SSM Health’s hospitals, facilities and…
Chapel Hill-based University of North Carolina Health and Cigna missed their Dec. 1 contract negotiation deadline, according to both organizations. UNC Health hospitals, clinics and providers are all out of network, but some patients may qualify for continuity of care…
Columbus, Ohio-based Mount Carmel Health System, a member of Livonia, Mich.-based Trinity Health, is back in network with Humana, according to both the health system and the insurer. Mount Carmel confirmed the agreement will span multiple years and reinstate access,…