Payer Contracting

Blue Cross Blue Shield of Tennessee and Memphis, Tenn.-based Methodist Le Bonheur Healthcare reached an agreement regarding employer-based and marketplace plans, the  Memphis Commercial Appeal reported June 14. 

Oklahoma awarded three payers its first Medicaid managed care contracts. 

Update: Allegheny Health Network signed a one-year in-network agreement with Cigna for commercial members that is effective July 1, the Pittsburgh Business Journal reported June 29.

UnitedHealthcare and Phoenix Children's reached an eleventh-hour agreement to keep the system's patients in network with the payer. 

Blue Cross and Blue Shield of Texas and Abilene, Texas-based Hendrick Health have extended their contract by two months as they continue to work out a potential new deal. 

New payer contracts Becker's has reported in 2023:

Here are the ongoing payer-provider contract disputes and splits Becker's has reported in 2023. 

June 26 update: The University of Utah Health and Regence BlueCross BlueShield reached a multi-year deal to preserve coverage for Regence members at University of Utah Health facilities.

Cincinnati-based Bon Secours Mercy Health and several Anthem Blue Cross Blue Shield plans are at odds over commercial reimbursement rates that could affect coverage for individuals enrolled in Medicaid managed care and Medicare Advantage plans. 

Aetna Better Health of Virginia provided $7.3 million in value-based care incentive payments to 22 federally qualified health centers in the state in an effort to increase screenings for diabetes as well as breast, cervical and colon cancer.