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.
Payer Contracting
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.
Cigna and Edison, N.J.-based Hackensack Meridian Health have extended their commercial agreement until April 2025.
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.
