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Payer Contracting

Columbus, Ohio-based Mount Carmel Health System, a member of Livonia, Mich.-based Trinity Health, is back in network with Humana, according to both the health system and the insurer. Mount Carmel confirmed the agreement will span multiple years and reinstate access,…

Cincinnati-based Bon Secours Mercy Health reached an agreement with Humana to remain in network with the insurer Nov. 17, according to both the insurer and health system. “Humana and Bon Secours Mercy Health have agreed upon terms that will preserve…

Afton, Wyo.-based Star Valley Health will return to Cigna’s network on Dec. 15, according to a Nov. 14 news release from the health system. Negotiations have been going for months. Star Valley Health sent a letter to patients after reaching…

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Bend, Ore.-based St. Charles Health System will remain in network with PacificSource, according to a Nov. 13 news release. The commercial contract will last for two years, whereas the Medicare Advantage contract will last for one year. St. Charles has…

Worcester, Mass.-based UMass Memorial Health and Blue Cross Blue Shield of Massachusetts agreed on a three-year contract set to take effect Jan. 1, according to the insurer. Almost 200,000 UMass Memorial patients are insured by BCBS of Massachusetts. The current…

Eli Lilly is dropping CVS Caremark as the administrator of drug benefits for its 50,000 employees next year, Bloomberg reported Nov. 12.  Lilly selected Rightway as its new PBM partner. The move comes after Caremark selected Novo Nordisk’s Wegovy over…

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