Cincinnati-based Bon Secours Mercy Health reached an agreement with Humana to remain in network with the insurer Nov. 17, according to both the insurer and health system. “Humana and Bon Secours Mercy Health have agreed upon terms that will preserve…
Payer Contracting
Afton, Wyo.-based Star Valley Health will return to Cigna’s network on Dec. 15, according to a Nov. 14 news release from the health system. Negotiations have been going for months. Star Valley Health sent a letter to patients after reaching…
Insurer Harvard Pilgrim Health Care, a subsidiary of Point32Health, and Brewer, Maine-based Northern Light Health are partnering to expand the Maine’s Choice Plus product across the state, available on the ACA marketplace, according to a Nov. 17 news release. Maine’s…
The Office of the New York City Comptroller approved the NYC Employees PPO plan, according to a Nov. 14 news release. Under the new health plan, EmblemHealth and UnitedHealthcare will take over the contract from GHI Comprehensive Business Plan, under…
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…
Advertisement
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…
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…