Payer Contracting

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.

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.