Payer Contracting

Aetna patients in Austin with Aetna insurance plans are in network with Houston-based Texas Children's Hospital, effective Aug. 1. 

Anthem said it is optimistic that progress is being made on contract negotiations with Portland-based Maine Medical Center and the sides will reach an agreement by the end of the year, the Portland Press Herald reported Aug. 1. 

Cleveland Clinic and Anthem Blue Cross and Blue Shield in Ohio have reached a deal on a multiyear contract. 

Four months after Blue Cross Blue Shield of Mississippi went out of network with Jackson-based University of Mississippi Medical Center, the sides have been unable to agree on a new contract, and the dispute now involves a lawsuit alleging a…

Blue Cross & Blue Shield of Mississippi filed a lawsuit July 28 in a state circuit court against three executives with the Jackson-based University of Mississippi Medical Center over allegations of a defamatory public relations campaign following a turbulent contract…

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.