HCA, Cigna reach contract agreement in Tennessee, Kentucky

Editor's note: This article and its headline were updated Oct. 4 to reflect the fact that HCA and Cigna Healthcare came to a contract agreement that allows Cigna employer-sponsored and Medicare Advantage plan members to access all HCA facilities in Tennessee and Kentucky. Cigna's exchange plans remain out of network with HCA.

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HCA hospitals in Tennessee and Kentucky will go out of network with Cigna Healthcare if a new contract is not in place by Oct. 1.

The dispute involves all TriStar hospitals in the Nashville region, The Tennessean reported Sept. 19. It also affects City of Nashville, Davidson County, and public school employees. According to HCA's website, the TriStar Division includes 17 hospitals.

Nashville-based HCA wrote on its website that the dispute also affects ASCs, PSG practices, urgent care centers and imaging and cancer centers. Cigna's Medicare Advantage members are also impacted.

In a statement shared with The Tennessean, Cigna said the looming split was due to "significant rate increases" from HCA.

“We want to keep health care affordable for our clients and customers, especially as they are managing rising prices due to inflation, and have been negotiating in good faith with TriStar Health for months to try and reach a reasonable, affordable contract in line with other providers," Cigna told the publication.

"Our discussions with Cigna continue, and we're hopeful we’ll be able to reach an agreement for fair reimbursement for the care we provide so Cigna members can continue to enjoy the convenient access to the top-quality care they expect to receive at our hospitals throughout the region," an HCA spokesperson told Becker's in a statement.

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