Payer Contracting

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. 

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.