At least two payers and providers have split in recent weeks. Others are trying to agree to contracts ahead of looming deadlines or working to negotiate expired contracts.
Payer Contracting
Anthem Blue Cross Blue Shield and the Christ Hospital, based in Cincinnati, could split if the two sides cannot reach a contract agreement by April 1.
Empire BlueCross and Ellis Medicine will split May 1 unless the two sides can agree to a new contract, the Times Union reported Feb. 10.
Prescott, Ariz.-based Dignity Health Yavapai Regional Medical Center is out of network with Blue Cross Blue Shield of Arizona after the sides were unable to reach a new contract, NBC affiliate KPNX reported Feb. 9.
Several insurers and health systems have reached agreements to keep members in network in February.
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Health Net Federal Services, a Centene subsidiary, is challenging the Defense Department's decision to hand over management of a Tricare contract to TriWest Healthcare Alliance, military.com reported Feb. 9.
Memphis, Tenn.-based Methodist Le Bonheur Healthcare has reached a contract agreement with Blue Cross Blue Shield of Tennessee on plans covering Medicaid beneficiaries.
Humana has entered a five-year agreement with ChenMed to provide in-network services to Humana Medicare Advantage members.
The three payers competing for North Carolina's state health plan contract submitted very similar bids, but Aetna ultimately won out based on a higher score for its administrative services, according to new documents released by the North Carolina State Treasurer's…
Aetna has been awarded a contract to continue managing West Virginia's Medicaid services for children in the foster care system.