Payer Contracting

Phoenix Children's and Aetna have reached a new contract agreement. 

St. Charles Health System in Bend, Ore., will no longer be in-network with Humana and Centene subsidiaries HealthNet and WellCare Medicare Advantage plans in 2024. 

Brunswick-based Southeast Georgia Health System will terminate its contract with the WellCare Medicare Managed Care Plan on Dec. 8. 

A health system that encouraged its patients to avoid Medicare Advantage plans has found common ground with at least one MA insurer. 

Molina Healthcare will no longer administer Indiana Pathways for Aging, a long-term services Medicaid contract, the company said in regulatory filings published Oct. 2. 

Cincinnati-based Bon Secours Mercy Health and Anthem Blue Cross and Blue Shield have reached a contract agreement through 2028, ending one of the more public payer-provider reimbursement disputes of this year.

New Hampshire is looking for payers to administer its Medicaid managed care program starting next year.

Adena Regional Medical Center is terminating its contract with Anthem BCBS' Medicare Advantage and managed Medicaid plans in Ohio, effective Nov. 2.  

Blue Cross Blue Shield of Oklahoma and Stillwater (Okla.) Medical Center have reached an agreement that will keep Blue Traditional and Blue Choice PPO beneficiaries in network with the health system through 2026. 

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…