MaineHealth, Anthem BCBS settle $70M dispute, ink 2-year contract

Anthem Blue Cross and Blue Shield in Maine and MaineHealth have reached an agreement to keep Maine Medical Center in Portland, the state’s largest hospital, in network for the next two years. 

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Anthem members will continue to receive in-network services at the hospital as well as at the system’s other facilities and providers, according to an Aug. 17 news release from MaineHealth.

About 150,000 people with an Anthem plan have made a claim at Maine Medical Center in the past three years, the Portland Press Herald reported in April.

The hospital said in April it would leave Anthem’s provider network in January. MaineHealth had claimed Anthem owed the provider more than $70 million in unpaid claims from the previous three years.

Disputes between Anthem and several Maine providers have arisen this year. Portland-based Fore River Urology terminated its contract with Anthem beginning Aug. 1. Coastal Women’s Healthcare in Scarborough said it would also drop Anthem in August but was able to come to a contract agreement in June.

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