Bend, Ore.-based St. Charles Health System will remain in network with PacificSource, according to a Nov. 13 news release. The commercial contract will last for two years, whereas the Medicare Advantage contract will last for one year. St. Charles has…
Payer Contracting
Worcester, Mass.-based UMass Memorial Health and Blue Cross Blue Shield of Massachusetts agreed on a three-year contract set to take effect Jan. 1, according to the insurer. Almost 200,000 UMass Memorial patients are insured by BCBS of Massachusetts. The current…
Elevance Health is pushing to maintain its health plan contract for New York City employees, according to a Nov. 13 Bloomberg article on the court filings. The news outlet spotted an appeal in the case that was briefly public. The…
North Carson City, Nev.-based Carson Tahoe Health and the Nevada Health Authority are extending the health system’s contract with UMR, a UnitedHealthcare subsidiary, according to a Nov. 11 post. State of Nevada employees will stay in network with CTH through…
Eli Lilly is dropping CVS Caremark as the administrator of drug benefits for its 50,000 employees next year, Bloomberg reported Nov. 12. Lilly selected Rightway as its new PBM partner. The move comes after Caremark selected Novo Nordisk’s Wegovy over…
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Brewer, Maine-based Northern Light Health and Anthem Blue Cross and Blue Shield in Maine have established a multi-year agreement to extend coverage for members, according to a Nov. 5 news release shared with Becker’s. The arrangement keeps Anthem members in…
Brewer, Maine-based Northern Light Health and Anthem Blue Cross Blue Shield failed to establish a new contract extending coverage by their Oct. 31 deadline, both organizations confirmed to Becker’s. “We continue to work closely with Anthem to conclude negotiations as…
Allentown, Pa.-based Lehigh Valley Health Network said it is planning to terminate its contract with UnitedHealthcare unless the payer works with the health system to remedy reimbursement issues. Without a resolution, LVHN will go out of network with UnitedHealthcare’s Medicare…
Los Angeles-based Cedars-Sinai and Anthem Blue Cross of California are extending their contract until Jan. 1, 2030, the health system said in a news release shared with Becker’s. More than 230,000 Anthem members will stay in network under the multiyear…
Ascension Wisconsin is back in network with UnitedHealthcare, according to an Oct. 14 UHC news release. “We have reached a multi-year agreement that restores network access to Ascension Wisconsin for people enrolled in UnitedHealthcare commercial, Medicare Advantage and Medicaid plans,…