Payer Contracting

State insurance commissioner Mike Chaney thinks the University of Mississippi Medical Center is violating state law by turning away patients during its dispute with Blue Cross & Blue Shield, Mississippi Today reported July 27. 

Highmark Blue Cross Blue Shield and Bridges Health Partners have signed a three-year, value-based agreement for Highmark's Medicare Advantage members in western Pennsylvania. 

Blue Cross Blue Shield of Nebraska next year will be offering a plan in the ACA marketplace for the first time since 2017, the Omaha World-Herald reported July 22. 

Empire BlueCross BlueShield won't be offering Medicare Advantage Plus plans to retired New York City employees, the payer said this week.

Roseville, Calif.-based Adventist Health and Anthem Blue Cross have agreed to extend their current contract by two weeks as they continue to hammer out a new deal. 

Blue Cross and Blue Shield of Oklahoma and OU Health in Oklahoma City have signed a three-year in-network agreement. 

Anthem Blue Cross and Blue Shield commercial and Medicare Advantage plan members will remain in network at Lewiston-based Central Maine Healthcare after the sides agreed to a multiyear contract, CBS affiliate WABI reported July 14. 

Patients at Roseville, Calif.-based Adventist Health with Anthem Blue Cross health plans will need to seek care elsewhere if the payer and health system fail to agree on a new contract by July 18, the San Joaquin Valley Sun reported July…

Highmark Health and AmeriHealth Caritas have been awarded new contracts to continue serving as Medicaid managed care providers in Delaware. 

Atlanta-based Northside Hospital and Anthem Blue Cross and Blue Shield in Georgia have agreed to a new contract after a dispute that included a hearing before the Georgia Supreme Court.