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Payer Contracting

Editor’s note: BCBS Arizona and HonorHealth reached an agreement on July 31. Original article: Blue Cross Blue Shield of Arizona and Scottsdale-based HonorHealth will go out of network on Aug. 1 without a new contract in place. The contract is…

Columbia, Mo.-based MU Health Care is back in network with some Anthem Blue Cross Blue Shield plans after a more than three-month split.  In a July 15 statement, the system and insurer said they had reached an agreement in principle…

Florida Blue and Fort Lauderdale-based Broward Health went out of network on July 1. The network split impacts all Broward hospitals and physicians for Florida Blue’s commercial, ACA and Medicare Advantage members. Florida Blue notified around 18,000 people about the…

Representatives from Anthem Blue Cross Blue Shield and Columbia-based University of Missouri Health Care testified before a state committee on June 30 regarding a disagreement over reimbursement rates.  Since April, MU Health Care’s physicians and facilities have been out of…

UnitedHealthcare, Centene, Elevance Health and other insurers have picked up Medicaid managed care contracts in 2025.  Here are three states awarding new contracts Becker’s has reported so far in 2025: 

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Several major health systems and insurers went out of network on July 1. Contract disputes between insurers and health systems are down in 2025 compared to the second half of 2024. In the first quarter of 2025, 26 total disputes…

UnitedHealthcare and Providence, R.I.-based Brown University Health have mutually agreed to go out of network on July 1 for Medicare Advantage plans. Brown’s hospitals in Rhode Island will be out of network for UnitedHealth’s MA plans, including D-SNP and group…

Tupelo, Miss.-based North Mississippi Health Services is out-of-network with UnitedHealthcare Medicare Advantage plans, as of June 1.  The split affects UnitedHealthcare MA and dual-eligible special needs plans. North Mississippi Health Services is still in-network with UnitedHealthcare commercial, individual and Medicaid…

Cigna and Pittsburgh-based Allegheny Health Network will be out of network on July 1 without a new contract in place, the Pittsburgh Business Times reported. According to the report, about 20,000 Cigna members have used an AHN provider within the…

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