From an impending expired contract between BCBS and Texas Health Resources to Penn State swapping Aetna for Highmark to administer employee benefits, these are five recent payer-provider contract breaks:
Payer Contracting
Blue Cross and Blue Shield of Mississippi and Jackson-based University of Mississippi Medical Center have yet to reach a new contract more than four months after the sides agreed to a mediator, Mississippi Today reported Sept. 20.
Blue Cross and Blue Shield of Texas and Farmers Branch-based Southwestern Health Resources will have no in-network contract with each other after Oct. 3 without a new agreement, WFAA reported Sept. 20.
Aetna has canceled a contract with its vendor that provides transportation to low-income seniors in Ohio following complaints from beneficiaries and the state about no-show rides, WCPO reported Sept. 19.
Hollister, Calif.-based Hazel Hawkins Memorial Hospital's contract with Anthem Blue Cross has been terminated, NBC affiliate KSBW reported Sept. 19.
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Amarillo, Texas-based Baptist St. Anthony Health System will go out of network with Blue Cross and Blue Shield of Texas on Dec. 7 if the sides are unable to agree on a new contract, ABC affiliate KVII reported Sept. 19.
Centene's Texas-based subsidiary, Superior HealthPlan has been awarded a six-year contract to continue providing healthcare coverage for foster care youths through the State of Texas Access Reform Health Medicaid program.
BlueCross BlueShield of Montana has been awarded a three-year contract to administer the state's employees health plan for 28,000 people.
Anthem Blue Cross and Blue Shield said it is reviewing its options after a panel of Kentucky appellate court judges upheld the state's 2020 managed care contract awards, the Louisville Courier Journal reported Sept. 15.
Dayton, Ohio-based managed care organization CareSource is partnering with Texas' largest federally qualified health center with plans to participate in the procurement process for Medicaid contracts in two counties.