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Payer Contracting

Cincinnati-based Bon Secours Mercy Health and several Anthem Blue Cross Blue Shield plans are at odds over commercial reimbursement rates that could affect coverage for individuals enrolled in Medicaid managed care and Medicare Advantage plans. 

Aetna Better Health of Virginia provided $7.3 million in value-based care incentive payments to 22 federally qualified health centers in the state in an effort to increase screenings for diabetes as well as breast, cervical and colon cancer.

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Philadelphia-based Temple Health will be in network with Highmark Blue Shield on Jan. 1, 2024 — pending regulatory approval — as the Pittsburgh-based payer expands into Southeastern Pennsylvania. 

Editor's note: The headline and article were updated Aug. 4 to reflect that Chesapeake Regional Healthcare and Cigna Healthcare reached a two-year agreement that is effective through July 31, 2025.

Blue Cross Blue Shield of Massachusetts added three physician groups to its network as the payer said the state continues to experience a primary care physician shortage due to increased patient demand and more clinicians leaving the field.

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