Payer Contracting

Empire BlueCross BlueShield and Rockville Centre, N.Y.-based Catholic Health have partnered on a multi-year value-based payment and care delivery model.

Contract negotiations between health systems and insurers are a common occurrence across healthcare, but every so often talks disintegrate and disputes make their way into the public eye.

Cigna is out of network with some of Madera, Calif.-based Valley Children's Healthcare's facilities. 

Michigan is seeking contractors to manage Medicaid care for more than 2.2 million people. 

Anthem Blue Cross Blue Shield of Virginia has filed a cease and desist order against Cincinnati-based Bon Secours Mercy Health for allegedly denying access to Anthem's Medicaid patients amid a tense reimbursement rate dispute between the organizations, ABC affiliate WRIC…

The Government Accountability Office has rejected a challenge from Centene subsidiary Health Net over the Defense Department's decision to award the contract to manage Tricare's western region to TriWest Healthcare Alliance, Military.com reported Aug. 15. 

A growing number of older adults and low-income individuals are losing health insurance coverage because of a reimbursement rate dispute between Anthem Blue Cross Blue Shield plans and Cincinnati-based Bon Secours Mercy Health. 

New Mexico will award Medicaid managed care contracts to Blue Cross Blue Shield of New Mexico, Presbyterian Health Plan, United Health Plan and Molina Health Plan.

UnitedHealthcare patients will be back in network with Conway (Ark.) Regional Health System Aug. 15 after the sides were able to come to an agreement, Arkansas Business reported Aug. 9. 

Phoenix Children's patients will be out of network with Aetna after the two sides were unable to reach an agreement by their Aug. 6 deadline.