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.
Payer Contracting
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.
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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.