Blue Cross Blue Shield of Michigan and six physician organizations are launching a full-risk reimbursement arrangement for their Medicare Advantage PPO and Blue Care Network Medicare Advantage plans.
Payer Contracting
Toledo, Ohio-based ProMedica will go out of network with Cigna Jan. 1 if the two sides are unable to reach an agreement on a new contract, the Toledo Blade reported Dec. 13.
Titusville, Fla.-based Parrish Healthcare is severing its relationship with Cigna, citing overall financial losses and claiming the health insurer has refused to pay $1.3 million in reimbursements for additional services, the Space Coast Daily reported Dec. 11.
Cigna and Cincinnati-based Mercy Health could split, leaving thousands of patients without in-network access to their provider, if the two sides cannot reach a contract agreement by Jan. 1, the Cincinnati Enquirer reported Dec. 9.
More than 2,000 independent pharmacies will rejoin Tricare's network, managed by Cigna's Express Scripts, Navy Times reported Dec. 8.
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Six payer-provider contracts Becker's has reported since Nov. 21:
Abilene, Texas-based Hendrick Health could go out of network with Blue Cross Blue Shield of Texas if a new contract is not in effect by Feb. 1, the Abilene Reporter-News reported Dec. 6.
UnitedHealthcare and Tulsa, Okla.-based Hillcrest HealthCare System will be out of network if the two sides do not reach a contract agreement by May 1, 2023, ABC affiliate KTUL reported Dec. 5.
Partnership HealthPlan of California and Fairfield, Calif.-based NorthBay Health reached a contract that will keep the nonprofit healthcare organization in network with the health system.
Aetna and Munster, Ind.-based Community Healthcare System will go out of network if the two sides cannot reach a contract agreement by Jan. 15, Inside Indiana Business reported Dec. 5.