New payer-provider contracts | 2023

New payer contracts Becker's has reported in 2023:

May

Cigna reached a new contract agreement with Baton Rouge (La.) General. The hospital remains out of network with Aetna. 

April 

BCBS Arizona is back in network with Prescott, Ariz.-based Dignity Health Yavapai Regional Medical Center after the sides agreed to a new contract. The agreement is effective retroactively to April 1. 

Empire Blue Cross reached a new contract agreement with Schenectady, N.Y.-based Ellis Medicine. 

UnitedHealthcare and Tulsa, Okla.-based Hillcrest HealthCare System agreed to a new contract, avoiding a split that was set to take effect May 1 if no agreement was in place. 

Aetna reached a contract agreement with the six University of California health systems, avoiding a split that would have affected thousands of patients. 

BCBS Oklahoma and Stillwater (Okla.) Medical Center agreed to extend their current contract through the end of 2023.

BCBS Texas and Dallas-based Medical City Healthcare reached an agreement after months of negotiations over care costs. 

Anthem Blue Cross Blue Shield and the Christ Hospital in Cincinnati reached a new contract agreement one day before the two sides were set to go out of network. 

March 

UnitedHealthcare and Gastonia, N.C.-based CaroMont Health have reached an agreement on a new contract, avoiding a split that was set to take effect April 1. 

UnitedHealthcare and Burlington-based University of Vermont Health Network reached an agreement to extend their current contract through Dec. 31, avoiding a split set to take effect April 1.

Humana and Vanderbilt University Medical Center reached an agreement to avoid a contract break that was set to take effect April 1. 

UnitedHealthcare and Cigna are back in network with Fresno, Calif.-based Community Health System. The four-hospital system went out of network with UnitedHealthcare, Cigna and Anthem Blue Cross at the end of 2022. The system remains out of network with Anthem Blue Cross as of March 7. 

February

ConnectiCare reached a new contract with Prospect Medical Holdings, the parent company of three Connecticut hospitals, avoiding a split that would have affected 6,500 beneficiaries. 

Molina Healthcare is now in network with three Prime Healthcare hospitals in Texas —  Mission (Texas) Regional Medical Center, Knapp Medical Center in Weslaco and Harlingen (Texas) Medical Center. 

Blue Cross and Blue Shield of Oklahoma and Tulsa, Okla.-based Ascension St. John have reached a new contract agreement to keep BCBS members in-network at seven Oklahoma hospitals and medical centers.  

Anthem Blue Cross Blue Shield avoided going out of network with Fredericksburg, Va.-based Mary Washington Healthcare as the sides were able to reach a new contract ahead of the March 1 split date. 

Medical Mutual of Ohio and Kroger Health reached an agreement to provide in-network services to Medical Mutual's Medicare Advantage members. 

Centene and Springfield, Mo.-based Cox Health reached an agreement to keep Centene's Medicaid beneficiaries in network. 

BlueCross BlueShield of Tennessee reached a contract agreement with Methodist Le Bonheur Healthcare for plans covering Medicaid beneficiaries. The sides are continuing to negotiate a new contract regarding the insurer's employer-based and marketplace plans.

Blue Cross and Blue Shield of Oklahoma and Duncan, Okla.-based DRH Health have reached a two-year contract to keep the health system in network.

Cigna employer-sponsored health plans will remain in network with Phoenix Children's Hospital while the sides finalize a new contract.

Cigna settled a long dispute with Houston-based St. Luke's Health. The two organizations reached a new contract agreement set to begin March 1, bringing 66,000 patients back in network. 

January

Blue Cross and Blue Shield of Texas and Ascension Texas reached a new contract agreement, avoiding going out of network in a dispute that could have affected 66,000 patients. 

CVS Accountable Care Organization and Chicago-based Rush University System for Health are collaborating on ACO REACH participation for Medicare members in the Chicago area.

Blue Cross Blue Shield of Texas and Abilene, Texas-based Hendrick Health have extended their contract agreement through April 30, avoiding a split between the two organizations. The contract was set to expire Feb. 1.

Cigna of Ohio and Cincinnati-based Mercy Health reached an agreement to keep over 12,000 patients in network.

Aetna and Munster, Ind.-based Community Healthcare System agreed to a contract extension, avoiding a split that would have left Aetna commercial and Medicare Advantage members out of network. The two sides agreed to extend their current contract through at least Oct. 1. The agreement was set to expire Jan. 15.

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