Payer Contracting

Corvallis, Ore.-based Samaritan Health Services has terminated its commercial and Medicare Advantage contracts with UnitedHealthcare.

Seven payers, including UnitedHealthcare, Molina Healthcare and Centene subsidiary SuperiorHealth Plan, were awarded contracts to manage Texas' STAR +PLUS program, which provides Medicaid to adults with disabilities or are 65 years of age and older. 

Humana, Aetna and Molina are not renewing their contracts with senior companionship company Papa following allegations of abuse against patients or company employees, Bloomberg reported Sept. 11.

Empire BlueCross BlueShield and Rockville Centre, N.Y.-based Catholic Health have partnered on a multi-year value-based payment and care delivery model.

Contract negotiations between health systems and insurers are a common occurrence across healthcare, but every so often talks disintegrate and disputes make their way into the public eye.

Cigna is out of network with some of Madera, Calif.-based Valley Children's Healthcare's facilities. 

Michigan is seeking contractors to manage Medicaid care for more than 2.2 million people. 

Anthem Blue Cross Blue Shield of Virginia has filed a cease and desist order against Cincinnati-based Bon Secours Mercy Health for allegedly denying access to Anthem's Medicaid patients amid a tense reimbursement rate dispute between the organizations, ABC affiliate WRIC…

The Government Accountability Office has rejected a challenge from Centene subsidiary Health Net over the Defense Department's decision to award the contract to manage Tricare's western region to TriWest Healthcare Alliance, Military.com reported Aug. 15. 

A growing number of older adults and low-income individuals are losing health insurance coverage because of a reimbursement rate dispute between Anthem Blue Cross Blue Shield plans and Cincinnati-based Bon Secours Mercy Health.