Contract disputes between payers and providers can affect thousands of people and their ability to access care. Most recently, contract issues nationwide have mostly stemmed from disagreements over reimbursement rates, especially amid rising costs and inflation.
Payer Contracting
Central Maine Healthcare has reached an agreement with Aetna on hospital and physician services, the Lewiston Sun Journal reported May 16.
UnitedHealthcare Community Plan of Missouri was selected by the state as one of three managed care organizations to serve Medicaid enrollees in the Temporary Assistance for Needy Families and Children's Health Insurance Program.
The University of Vermont Health Network and UnitedHealthcare have extended their current contract through May 13, VTDigger reported May 2.
Portland-based MaineHealth's flagship hospital will exit the Anthem insurance network in January, citing more than $70 million in unpaid claims over the past three years as justification for the split, The Portland Press Herald reported April 6.
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Thousands of UnitedHealthcare beneficiaries are now out of network at Fort Lauderdale, Fla.-based Broward Health after the two parties failed to reach a new contract by the April 1 deadline.
The University of Vermont Health Network has agreed to commercial contract terms with UnitedHealthcare.
Vermont state officials say 5,000 UnitedHealthcare members are at risk of losing coverage within the University of Vermont Medicine Health Network, up from the 3,000 estimated earlier this month, according to VTDigger.
Blue Cross and Blue Shield of Mississippi is expected to drop University of Mississippi Medical Center hospitals, clinics and physicians from its network April 1 following a contract dispute.
Oregon has agreed to pay $22.5 million to settle a years-long legal dispute with a company that provided care to Medicaid patients, according to a March 26 Salem Statesman Journal article.