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Payer Contracting

Blue Cross Blue Shield of Oklahoma and Stillwater (Okla.) Medical Center have reached an agreement that will keep Blue Traditional and Blue Choice PPO beneficiaries in network with the health system through 2026. 

Editor's note: This article and its headline were updated Oct. 4 to reflect the fact that HCA and Cigna Healthcare came to a contract agreement that allows Cigna employer-sponsored and Medicare Advantage plan members to access all HCA facilities in…

Seven payers, including UnitedHealthcare, Molina Healthcare and Centene subsidiary SuperiorHealth Plan, were awarded contracts to manage Texas' STAR +PLUS program, which provides Medicaid to adults with disabilities or are 65 years of age and older. 

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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. 

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…

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