Fort Myers, Fla.-based Lee Health's Physician Group primary care providers will be out of network with Florida Blue's Medicare Advantage plans by September.
Payer Contracting
The Kansas Department of Administration rejected challenges to the state's Medicaid contract procurement process from Aetna and CareSource, the Kansas Reflector reported July 8.
A North Carolina state court has sided with the state in its decision to award Aetna its health plan contract for public employees over Blue Cross Blue Shield of North Carolina.
Sentara Health Plans and Virginia Children's Care Network are launching a value-based partnership to improve outcomes and lower costs for children enrolled in Medicaid.
Several Trinity Health hospitals from coast to coast are now out of network with UnitedHealthcare amid reimbursement disputes between the organizations.
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Aetna and Springfield, Ill.-based Hospital Sisters Health System have reached a tentative agreement, avoiding a contract termination that was set to take effect July 1.
Cook Children's Health Plan is challenging Texas's Medicaid contract awards in court.
Blue Cross and Blue Shield of Montana has been selected again by the state to administer its employee health plan, which covers nearly 28,000 people.
New York City's teachers union has pulled support for the city's shift to Medicare Advantage, further complicating the controversial effort, the New York Daily News reported June 24.
Driscoll Health Plan is warning about its future ability to remain operational following Texas' decision not to award the payer a Medicaid contract earlier this year.