The Michigan Department of Health and Human Services is seeking bids from organizations interested in serving as the state’s pharmacy benefit administrator. The state’s pharmacy programs provide prescription drug coverage for Medicaid beneficiaries and related health programs, along with pharmacy…
Contracting
Chapel Hill-based University of North Carolina Health and Cigna have established a “long-term” agreement to maintain coverage, according to a Dec. 12 news release from the health system. UNC Health and Cigna previously missed their Dec. 1 contracting deadline, prompting…
Aetna and Providence Oregon have reestablished their contract, according to a Dec. 4 post from the hospital network. The multiyear agreement brings the hospitals back in network after nearly a year. The contract originally expired Dec. 31, 2024, OregonLive reported,…
Wausau, Wis.-based Aspirus Health’s St. Luke’s Hospital in Duluth, Minn., and Blue Cross and Blue Shield of Minnesota have reached an agreement to keep facilities in network through 2027, according to a Dec. 5 update on Aspirus Health’s website. “Our…
Ann & Robert H. Lurie Children’s Hospital of Chicago will not accept any ACA plans in 2026, according to the hospital’s website. “Lurie Children’s is currently not contracted and out of network with all exchange plans inside and outside of…
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Chapel Hill-based University of North Carolina Health and Cigna missed their Dec. 1 contract negotiation deadline, according to both organizations. UNC Health hospitals, clinics and providers are all out of network, but some patients may qualify for continuity of care…
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…
Insurer Harvard Pilgrim Health Care, a subsidiary of Point32Health, and Brewer, Maine-based Northern Light Health are partnering to expand the Maine’s Choice Plus product across the state, available on the ACA marketplace, according to a Nov. 17 news release. Maine’s…