With new or additional California Medicaid contracts in the offing, Molina Healthcare will add 1.4 million enrollees, mostly at Centene subsidiary HealthNet's expense, the Los Angeles Business Journal reported Sept. 12.
Payer Contracting
Philadelphia-based Health Partners Plans is expanding its Medicare Advantage coverage into Gloucester County, N.J., The Philadelphia Inquirer reported Sept. 12.
Raleigh, N.C.-based WakeMed has been out of network with UnitedHealthcare since June 1, and while contract negotiations are ongoing, a hospital spokesperson told CBS affiliate WNCN Sept. 8 they are "not confident in a quick resolution."
Johns Hopkins will go out of network with CareFirst BlueCross BlueShield on Dec. 5 if the two sides are unable to reach a new contract, The Baltimore Sun reported Sept. 8.
Highmark Blue Shield will become the new health benefits provider for the 39,000 people employed by Penn State starting next year, the Daily Collegian reported Sept. 7.
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From Aetna to Anthem, several in-network contracts have been terminated between payers and providers this year, while others are on the verge of the same:
From several state's awarding Medicaid contracts to agreements with providers over in-network rates, these are 10 recently inked contracts with payers reported by Becker's since Aug. 5:
CMS has chosen Maximus Federal Services for a $6.6 billion contract to operate Medicare and ACA plan customer service centers nationwide.
A contract between Aetna and Lubbock, Texas-based Covenant Health expired Aug. 31, leaving almost 9,000 individuals without in-network coverage.
Iowa said Aug. 31 it intends to award four-year Medicaid managed care contracts to Elevance Health's Amerigroup Iowa and Molina Healthcare of Iowa.