Payer Contracting

New Mexico is seeking contract proposals from payers to deliver services to the state's 969,093 Medicaid members. 

Farmers Branch, Texas-based Southwestern Health Resources and Blue Cross and Blue Shield of Texas have reached a multiyear contract. 

Tryon Medical Partners, the largest independent primary care provider in the Charlotte, N.C.-area, is no longer in-network with Humana Medicare Advantage plans, NC Health News reported Oct. 3. 

Farmers Branch, Texas-based Southwestern Health Resources is seeking a more than $900 million increase over the next 32 months in a new contract with Blue Cross Blue Shield of Texas, the Dallas Morning News reported Sept. 29. 

Here are nine contract updates Becker's has reported since Sept. 7. 

BayCare will stay in-network with Florida Blue, reaching an agreement days before the organizations in-network contracts were set to expire, BayCare said Sept. 28. 

Carle Health in Urbana, Ill., said it won't commit to treating Aetna Medicare Advantage members, the only health plan offered to Illinois state retirees, until it has a contract with the insurer, The News-Gazette reported Sept. 28.

The Nebraska Department of Health and Human Services has selected three health plans to administer its Medicaid managed care program.

BayCare Health System paused all elective surgeries and procedures for Florida Blue members Sept. 22 as the expiration date for the in-network contract between the two organizations approaches, WFTS reported.

Harlingen, Texas-based direct primary care provider Frontier Direct Care has chosen Flume Health to help launch its new health plan.