Community Healthcare System is dropping two Medicare Advantage plans, citing unreasonable denials and delayed payments, The Times of Northwest Indiana reported Feb. 20.
Contracting
CalOptima, a Medicaid insurer in Orange County, Calif., terminated its contract with four hospitals owned by Ontario, Calif.-based Prime Healthcare on Feb. 5.
UnitedHealthcare and Jonesboro, Ark.-based St. Bernards Healthcare have been unable to reach a new contract as several deadlines approach, Arkansas Business reported Feb. 5.
Blue Cross Blue Shield of Arizona is out of network with San Francisco-based Dignity Health's Arizona locations as of Feb. 1.
Idaho's state health plan administrator is set to switch from Blue Cross of Idaho to Regence BlueShield of Idaho in July, the Idaho Capital Sun reported Jan. 29.
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Blue Cross Blue Shield of North Carolina's legal challenge to win back the state health plan contract it lost to Aetna can continue, the News and Observer reported Jan. 24.
West Virginia has awarded Highmark Blue Cross Blue Shield of West Virginia a four-year Medicaid managed care contract.
New Hampshire has awarded three payers contracts to manage the state's Medicaid managed care programs.
Livonia Mich.-based Trinity Health and several Anthem BCBS health plans have signed a new multi-year provider network contract that includes advanced collaboration on data connectivity and value-based reimbursement models through the Epic Payer Platform.
CMS uses star ratings to determine the quality of Medicare Advantage prescription drug plans. The agency may terminate a plan sponsor's contract to administer Medicare benefits if it achieves a rating of less than three stars for three consecutive contract…