Payer Contracting

Houston-based Memorial Hermann Health System is no longer in network with Humana's Medicare Advantage plans, effective Jan. 1.

UnitedHealthcare went out of network with Little Rock, Ark.-based Baptist Health's hospitals and providers after the payer and health system were unable to reach a new contract. 

UnitedHealthcare moved six Mount Sinai Health System hospitals out of network Jan. 1 amid a contract dispute between the payer and New York City-based health system, according to news releases from both organizations. 

A Medicare Advantage plan jointly owned by Essence Healthcare and Stanford (Calif.) Health Care exited the California market Jan. 1, spokespeople for the organizations confirmed with Becker's.

Cigna and Raleigh, N.C.-based WakeMed have agreed to a two-year contract. 

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. 

Springfield (Ill.) Clinic will be back in network with Blue Cross Blue Shield of Illinois for the first time in more than two years, BCBS told Becker's Dec. 22. 

Louisville, Ky.-based Baptist Health will be out of network with UnitedHealthcare and Centene's Wellcare Medicare Advantage plans, effective Jan. 1, 2024.

Roseville, Calif.-based Adventist Health and Blue Shield of California have gone out of network across 17 hospitals.