Houston-based Memorial Hermann Health System and BCBS Texas agreed on a contract April 11, bringing the health system back in network. The agreement ensures “access to quality care at cost-effective prices,” BCBS Texas said in an April 13 statement shared with…
Contracting
EmblemHealth will continue negotiations with New York City-based NewYork-Presbyterian until April 10, according to an April 2 social media post from the United Federation of Teachers, the city’s union for public school teachers. The union issued a news release earlier…
Rockville Centre, N.Y.-based Catholic Health is going out of network with Healthfirst, effective May 15, the health system and the insurer confirmed to Becker’s. The previous agreement ended March 15. The organizations are currently in a two-month “cooling off period,”…
CommonSpirit Health’s Tennessee and Georgia facilities (formerly CHI Memorial), is back in network with Cigna Healthcare, according to an insurer statement shared with Becker’s April 3. “We have reached an agreement that will keep CommonSpirit in our network. We look…
Federal regulators are ramping up scrutiny of health system contracting practices, escalating the debate over healthcare costs, competition and market power. The Justice Department recently filed antitrust lawsuits against major health systems, including OhioHealth and NewYork-Presbyterian, alleging they used payer…
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The Louisiana Department of Health’s Medicaid contract with UnitedHealthcare expired March 31, according to a news release from that day. The department had set up a special enrollment period from Jan. 15 to Feb. 15, allowing UnitedHealthcare members to transition…
Anthem BCBS in New York and New York City-based Mount Sinai Health System have been entrenched in a heated contract dispute, with physicians and facilities going out of network at the beginning of the year and in March, respectively. Becker’s…
Parts of Chicago-based CommonSpirit Health’s Colorado and Texas markets are back in network for Humana Medicare Advantage members under a national, three-year agreement, according to a March 23 news release. The agreement, which is the product of nearly one year…
Pennsylvania has opened a special enrollment window for 5,400 UnitedHealthcare Medicare Advantage members affected by the contract dispute with Allentown-based Lehigh Valley Health Network, giving impacted beneficiaries until April 30 to switch plans. The state said March 16 that it…
New York City-based Mount Sinai released a 34-minute podcast on March 13, detailing the health system’s contracting dispute with Anthem. “At Thanksgiving, [Anthem] inexplicably just said, ‘We are not doing anything we agreed to, and we’re not talking to you…