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Payer Contracting

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. 

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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. 

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