Payer Contracting

Beginning June 1, WakeMed is no longer a part of the UnitedHealthcare network.

An Illinois man is facing thousands of dollars in cancer treatment bills from Blue Cross Blue Shield of Illinois after his Springfield Clinic oncologist went out of network following a terminated contract between the payer and provider last year, WCIA…

The University of Vermont Health Network and UnitedHealthcare reached an agreement on a new contract, VTDigger reported May 27. 

Scarborough-based Coastal Women's Healthcare has joined two other Maine providers in dropping Anthem insurance plans, CBS affiliate WGME reported May 25. 

Allianz Partners has signed an agreement to take over Aetna International's health insurance portfolio outside the Americas and India. Allianz Ayudhya has also acquired 100 percent of Aetna Thailand.

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.

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.