Payer Contracting

Nearly a year after contract negotiations between Blue Cross Blue Shield of Illinois and Springfield Clinic fell through, the two sides are still negotiating without a resolution in sight, WCIA reported Nov. 3.

Cigna is spending $200 million to integrate Express Scripts as Centene's new pharmacy benefit manager for 20 million members starting in 2024.

About 20,000 patients could be left out of network if UnitedHealthcare and Syracuse, N.Y.-based SUNY Upstate University Hospital are unable to reach a new contract before the current one expires Dec. 31, syracuse.com reported Nov. 3. 

Carle Health will treat Aetna Medicare Advantage members after the two sides reached a tentative contract agreement, CBS affiliate WCIA reported Oct. 31.

Six months after Fort Lauderdale, Fla.-based Broward Health went out of network with UnitedHealthcare, the two sides have reached a multi-year agreement. 

Amarillo, Texas-based Baptist St. Anthony Health System will avoid leaving Blue Cross and Blue Shield of Texas' network after the two sides were able to reach an agreement Oct. 31. 

These are seven recently inked network contracts between hospitals and health systems and payers reported by Becker's since Oct. 7:

In-home care provider Amedisys has inked a value-based contract to provide care to Aetna Medicare Advantage members. 

Washington, D.C. Mayor Muriel Bowser has terminated one of her top officials after he publicly accepted a job at Elevance Health just days after the city awarded a Medicaid contract to an Elevance subsidiary, The Washington Post reported Oct. 26.

Anthem Blue Cross Blue Shield's contract with Wausau, Wis.-based Aspirus Health is on uncertain terms as the deadline to negotiate a new contract approaches, CBS affiliate WSAW reported Oct. 26.