Payer Contracting

UnitedHealthcare and York, Pa.-based WellSpan Health remain at odds over a new contract as their current deal is set to expire Oct. 31, ABC affiliate WHTM reported Oct. 14. 

Michigan has awarded nine health plans contracts to manage its Medicaid program for individuals dually-eligible for Medicare and Medicaid. 

A Kansas judge denied Aetna's petition for judicial review of the state's Medicaid contract awards, the Topeka Capital-Journal reported Oct. 3. 

Editor's note: This story was updated Oct. 1 to reflect Baptist Health and Florida Blue reached a new contract agreement.  Jacksonville, Fla.-based Baptist Health and Florida Blue reached an agreement a day before their contract was set to expire. 

Editor's note: This story was updated Sept. 12 to reflect that the Arizona Health Care Cost Containment Systems upheld its original contract awards.  Arizona will uphold contracts awarded to UnitedHealth and Centene to manage the state's long-term care Medicaid program. 

Editor's note: This story was updated Sept. 20 to reflect Aetna and HCA Hospitals reached a new agreement.  Aetna and HCA Healthcare hospitals in Florida have reached a new contract agreement, avoiding a split that would have left 48 hospitals out-of-network. 

Several states have shaken up their Medicaid contractors in recent months. Florida added additional insurers to its Medicaid contract awards, and system-owned health plans in Texas are challenging a contract decision executives say threatens the plans' existence. 

In today’s complex healthcare landscape, providers often find themselves grappling with the challenging dynamics of payer negotiations. While the scales may seem tipped in favor of insurance companies, providers possess more leverage than they may realize — if they understand…

Iowa has awarded Centene subsidiary Iowa Total Care a new 4-year Medicaid contract.

UnitedHealthcare has reached contract agreements with HCA Healthcare-owned hospitals in four states.