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Payer Contracting

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

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.

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.

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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. 

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