Payer Contracting

Portland-based Oregon Health & Science University will go out of network with UnitedHealthcare if the two sides are unable to reach a new contract agreement by March 31, Willamette Week reported Jan. 30. 

Cigna Medicare Advantage members in Delaware are eligible for a special enrollment period after a contract split between the insurer and Dover-based Bayhealth.

New Hampshire's insurance commissioner will mediate contract negotiations between Anthem Blue Cross Blue Shield and Nashua-based St. Joseph Hospital after the organizations went out of network on Jan. 1.

Scripps Health and Anthem Blue Cross are out of network as of Jan. 1.

Aetna is now out of network with Providence hospitals in Oregon. 

UnitedHealthcare and Tacoma, Wash.-based Virginia Mason Franciscan Health have reached a new multi-year contract. 

Humana and CommonSpirit hospitals in Colorado will go out-of-network Jan. 1, 2025. 

Georgia's Medicaid contract awards could cause three in four Medicaid recipients in the state to switch plans, according to Centene CEO Sarah London. 

Georgia will award Medicaid contracts to four Medicaid managed care organizations. 

Humana misrepresented the providers its Medicare Advantage plans will be in-network with in 2025, Minnesota Attorney General Keith Ellison alleged.