Payer Contracting

Centene has awarded its Pharmaceutical Benefit Management contract to Cigna's Express Scripts, the PBM said Oct. 25. 

Maryland's Congressional Delegation is urging CareFirst BlueCross BlueShield and Johns Hopkins Health System to resolve their contract dispute before the Dec. 5 deadline. 

A group of 35 state attorneys general signed on to an amicus brief supporting Oklahoma's laws regulating pharmacy benefit managers, published Oct. 18. 

More than six months after Blue Cross Blue Shield of Mississippi went out of network with Jackson-based University of Mississippi Medical Center, the sides remain without a contract. Several weeks without progress led the state's insurance commissioner to suspend mediations…

Deadlines are looming in some payer-provider contract disagreements, while other ongoing negotiations are leaving members out of network.

Durham, N.C.-based Duke Health is encouraging its patients to select another Medicaid managed care plan after its contract with UnitedHealthcare Community Plan expired Oct. 15. 

Stillwater Medical Center in Oklahoma has ended all in-network contracts with Medicare Advantage plans amid financial challenges at the 117-bed hospital, the Stillwater News Press reported Oct. 14.

Anthem Blue Cross and Blue Shield in Wisconsin is expanding Wisconsin Health Care Marketplace access from nine counties to 68 counties in 2023. 

Toledo, Ohio-based ProMedica and McLaren St. Luke's hospital reached a settlement in a contract dispute, meaning the hospital will treat ProMedica's Paramount Health Plan members in-network, McLaren said Oct. 11. 

Mississippi Insurance Commissioner Mike Chaney suspended mediations between Blue Cross Blue Shield of Mississippi and the University of Mississippi Medical Center after six weeks without progress, NBC affiliate WLBT reported Oct. 11.