Payer Contracting

Dayton, Ohio-based managed care organization CareSource is partnering with Walmart to tackle racial health inequities. 

Blue Cross and Blue Shield of Minnesota has struck a value-based agreement with tech-enabled rural health startup Homeward that aims to close care delivery gaps.

ConnectiCare has reached a new contract with Prospect Medical Holdings, avoiding a split that would have affected 6,500 beneficiaries, the Hartford Business Journal reported Feb. 27. 

Three Prime Healthcare hospitals in Texas are now in network with Molina Healthcare, myrgv.com reported Feb. 21. 

Blue Cross and Blue Shield of Oklahoma and Tulsa, Okla.-based Ascension St. John have reached a new contract agreement to keep BCBS members in-network at seven Oklahoma hospitals and medical centers.  

The University of Vermont Health Network will be out of network with UnitedHealthcare's commercial plans April 1 without a new contract.

Anthem Blue Cross Blue Shield avoided going out of network with Fredericksburg, Va.-based Mary Washington Healthcare as the sides were able to reach a new contract ahead of the March 1 split date. 

Medical Mutual of Ohio and Kroger Health reached an agreement to provide in-network services to Medical Mutual's Medicare Advantage members. 

Centene and Springfield, Mo.-based Cox Health reached an agreement to keep Centene's Medicaid beneficiaries in network, the Springfield News-Leader reported Feb. 17. 

Blue Cross and Blue Shield of North Carolina is challenging the state's decision to hand its State Health Plan contract to Aetna in court.