Payer Contracting

Blue Cross Blue Shield of Massachusetts and Boston-based Tufts Medicine agreed on a value-based payment contract that incorporates equity measures. 

June 9 update: Premera Blue Cross and UW Medicine reached a new multi-year agreement, effective July 1, ensuring no disruption for Premera members receiving care at UW Medicine.

Philadelphia-based Temple Health will be in network with Highmark Blue Shield on Jan. 1, 2024 — pending regulatory approval — as the Pittsburgh-based payer expands into Southeastern Pennsylvania. 

Editor's note: The headline and article were updated Aug. 4 to reflect that Chesapeake Regional Healthcare and Cigna Healthcare reached a two-year agreement that is effective through July 31, 2025.

Centene subsidiary Sunshine Health and St. Petersburg, Fla.-based Johns Hopkins All Children's Care Network have entered into a two-year, value-based care agreement. 

Blue Cross Blue Shield of Massachusetts added three physician groups to its network as the payer said the state continues to experience a primary care physician shortage due to increased patient demand and more clinicians leaving the field.

Humana will contract with two durable medical equipment companies to provide medical devices to its Medicare Advantage members. 

Baton Rouge (La.) General has reached an agreement on a new contract with Cigna but remains out of network with Aetna, The Advocate reported May 9. 

Phoenix Children's will go out of network with UnitedHealthcare on June 1 if the sides are unable to reach an agreement on a new contract. 

Prescott, Ariz.-based Dignity Health Yavapai Regional Medical Center is back in network with Blue Cross Blue Shield of Arizona after the sides agreed to a new contract.