Payer Contracting

New York City leaders have greenlit an Aetna-run Medicare Advantage plan for the city's retired municipal employees, Gothamist reported March 9. 

Fresno, Calif.-based Community Health System is back in network with Anthem Blue Cross after a split lasting six months. 

Some Aetna plans will be out of network at UC San Diego Health on April 21 if the two organizations don't agree on a new contract.

Oscar Health will keep CVS Caremark as its pharmaceutical benefit manager through 2026.

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.