Payer Contracting

Centene subsidiary Delaware First Health has been awarded a statewide Medicaid managed care contract. 

From UnitedHealthcare to Anthem and Mayo Clinic to Wellstar Health System, these are five network contracts recently inked between payers and providers:

A 90-day grace period for in-network care coverage expired July 1 between Blue Cross and Blue Shield of Mississippi and the University of Mississippi Medical Center, leading the state's insurance commissioner to announce a targeted market conduct examination of the…

Blue Cross & Blue Shield of Mississippi and the University of Mississippi Medical Center's mediation continues, but in-network care coverage expires July 1 for many Blue Cross patients at the hospital, Mississippi Today reported June 30.

CareSource will be out of network with Cincinnati Children's Hospital beginning Aug. 1, the Cincinnati Enquirer reported June 28. 

Mobile-based Ascension Health Alabama could leave Cigna's network Aug. 13 if a new deal is not reached, the Birmingham Business Journal reported June 27. 

Marietta, Ga.-based Wellstar Health System will be back in network with UnitedHealthcare starting July 1, the Atlanta Journal-Constitution reported June 27. 

Providers ranging from large health systems to independent practices have recently gone out of network with major payers:

Time is running out for MaineHealth's flagship hospital and Anthem to reach a deal, the health system's CEO, Andy Mueller, MD, said in a June 24 opinion piece on centralmaine.com. 

Beginning Jan. 1, UnitedHealthcare's Medicare Advantage members will be in network at Mayo Clinic facilities in the Midwest under a new contract agreement between the two organizations, the Star Tribune reported June 23.