Payer Contracting

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. 

Brookings (S.D.) Health System will no longer be in-network with any Medicare Advantage plans in 2024, the Brookings Register reported Aug. 7. 

UnitedHealthcare and Orlando (Fla.) Health have reached an agreement that will keep 70,000 patients in network at the health system, ABC affiliate WFTV reported Aug. 1.

Centene subsidiary Superior HealthPlan was awarded a new six-year contract to administer Texas' Medicaid coverage for the aged, blind and disabled population. 

Patients with UnitedHealthcare plans could go out of network at Orlando (Fla.) Health if the two sides are unable to reach a new contract by July 31, the Orlando Sentinel reported July 18. 

Pittsburgh-based Highmark Blue Shield has added two Southeastern Pennsylvania-based health systems ahead of its move into the region next year, the Philadelphia Business Journal reported July 19. 

Nearly 50,000 Medicaid enrollees in Ohio are caught in the middle of a commercial reimbursement fight between Anthem Blue Cross Blue Shield and Cincinnati-based Bon Secours Mercy Health.

Anthem Blue Cross Blue Shield and two hospitals in Maine operated by Tewksbury, Mass.-based Covenant Health have reached an in-network agreement.

Idaho has dropped Optum as the managed care contractor for its behavioral health plan and awarded a four-year, $1.2 billion contract to Centene's Magellan Healthcare subsidiary.

Syracuse, N.Y.-based St. Joseph's Hospital Health Center will go out of network with UnitedHealthcare if the two sides are unable to reach a new contract before July 1.