Health Care Service Corp.’s Blue Cross and Blue Shield of Texas and Austin-based Ascension Texas reached an agreement Dec. 31, just ahead of their end-of-year deadline, according to the insurer. Now, all members — spanning commercial, ACA and Medicare Advantage…
Payer Contracting
Blue Cross and Blue Shield of Kansas has reached an agreement with Topeka-based University of Kansas Health System St. Francis Campus, also owned by Nashville, Tenn.-based Ardent Health Services, the insurer’s website said Dec. 24. The agreement retains coverage for…
CMS is terminating its Medicare Advantage contract with American Health Plan of Texas after the insurer failed to meet minimum quality standards for three consecutive years. The agency issued a notice of termination Dec. 17 to the Franklin, Tenn.-based company,…
The Michigan Department of Health and Human Services is seeking bids from organizations interested in serving as the state’s pharmacy benefit administrator. The state’s pharmacy programs provide prescription drug coverage for Medicaid beneficiaries and related health programs, along with pharmacy…
Chapel Hill-based University of North Carolina Health and Cigna have established a “long-term” agreement to maintain coverage, according to a Dec. 12 news release from the health system. UNC Health and Cigna previously missed their Dec. 1 contracting deadline, prompting…
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Aetna and Providence Oregon have reestablished their contract, according to a Dec. 4 post from the hospital network. The multiyear agreement brings the hospitals back in network after nearly a year. The contract originally expired Dec. 31, 2024, OregonLive reported,…
Wausau, Wis.-based Aspirus Health’s St. Luke’s Hospital in Duluth, Minn., and Blue Cross and Blue Shield of Minnesota have reached an agreement to keep facilities in network through 2027, according to a Dec. 5 update on Aspirus Health’s website. “Our…
Ann & Robert H. Lurie Children’s Hospital of Chicago will not accept any ACA plans in 2026, according to the hospital’s website. “Lurie Children’s is currently not contracted and out of network with all exchange plans inside and outside of…
Farmington-based University of Connecticut Health’s contract with Aetna expired Dec. 1. UConn Health, including John Dempsey Hospital and the UConn Medical Group, will no longer be covered. This status does not apply to retirees of state government employment and Aetna…
Chapel Hill-based University of North Carolina Health and Cigna missed their Dec. 1 contract negotiation deadline, according to both organizations. UNC Health hospitals, clinics and providers are all out of network, but some patients may qualify for continuity of care…