Contracting

Blue Shield of California and Fresno-based Community Medical Centers have reached a new contract agreement, ending a more than four month network break. The agreement restores in-network access for the insurer’s HMO, PPO, Medicare Advantage and ASO members across Community’s…

A rural Texas hospital organization has notified UnitedHealthcare of its intent to end all participation agreements over alleged unsustainable reimbursement rates. Six things to know: 1. Texas Organization of Rural & Community Hospitals Clinically Integrated Network, representing primary care clinics…

Fairview Health Services will stop scheduling patients with UnitedHealthcare Medicare Advantage plans effective Jan. 1, 2027.  The Minneapolis-based health system said frequent coverage changes, denials and payment issues have made it harder for patients to access care.  “We understand this change creates…

Several hospital-insurer contracts are approaching network breaks by the end of June without new agreements in place, spanning multiple states and major insurers. Seven hospital-insurer contract talks to watch: 1. Cigna and Oakland-based University of California Health hospitals, facilities and…

University of California Health and Cigna Healthcare have so far been unable to reach a new network contract agreement ahead of a July 1 deadline. The potential split would affect UC Health hospitals, facilities and providers across the state, including…

Tacoma, Wash.-based MultiCare Health System has reached a verbal agreement to remain in network with Cambia Health Solutions’ Regence BlueShield. The insurer said negotiations spanned three Washington counties, and the organizations are formalizing the terms in writing. MultiCare originally went…

Blue Cross Blue Shield of Michigan and Ann Arbor-based Michigan Medicine have formed “a new, long-term contract,” according to a joint statement the organizations shared with Becker’s May 27. The insurer and health system originally had until July 1 to…

Albuquerque, N.M.-based Lovelace Health System, owned by Ardent Health, and Health Care Service Corp.’s Blue Cross and Blue Shield of New Mexico have established a four-year agreement to maintain in-network status. The health system and insurer originally faced a June…

West Columbia, S.C.-based Lexington Health and Cigna reached a new agreement, set to go into effect July 1, according to a health system news release shared with Becker’s. Lexington Medical Center and its affiliated physician practices went out of network…

Jacksonville, Fla.-based Baptist Health will go out of network for Cigna Healthcare on June 23, the health system confirmed to Becker’s. Cigna’s commercial members would be affected, while those with HealthSpring Medicare supplement plans would not. Some services, facilities and…