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Payer Contracting

UnitedHealthcare and Greenville, S.C.-based Prisma Health went out of network Jan. 1 after the two sides failed to reach a new agreement. 

New York City-based Mount Sinai Health System could go out of network with UnitedHealthcare on Jan. 1 if the two sides are unable to reach a new contract. 

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Little Rock, Ark.-based Baptist Health could go out of network with UnitedHealthcare Medicare Advantage plans if the sides are unable to reach an agreement by Dec. 31, Arkansas Money & Politics reported Nov. 30.

Anthem Blue Cross and Blue Shield of Georgia and Marietta, Ga.-based Wellstar Health System have agreed to a new contract that will keep Wellstar patients in network with the payer through May 2027. 

West Reading, Pa.-based Tower Health will be out of network for all Cigna Healthcare members starting Jan. 1 following a disagreement over reimbursement rates, the Reading Eagle reported Nov. 24.

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