Payer Contracting Archives - Page 50 of 52 - Becker's Payer Issues

Some patients can stay in network for care despite Memorial Hermann, BCBS split

Houston-based Memorial Hermann patients in critical condition insured by BlueCross BlueShield of Texas are still covered under state law, despite the termination of its contract with the payer, Houston Public Media reported March 4.

Broward Health, UnitedHealthcare hit contract impasse

Fort Lauderdale, Fla.-based Broward Health plans to end its contract with UnitedHealthcare on April 1 if its demands for a new agreement are not met, according to a notification from the health system.

UVM Health Network cites administrative issues, seeks to end UnitedHealthcare contract

University of Vermont Medicine Health Network (Burlington) has expressed its intent to end its contract with UnitedHealthcare over administrative and operational hurdles, according to CBS affiliate WCAX.

BCBS of Texas, Memorial Hermann sever contract, affecting 100,000

BlueCross BlueShield of Texas and Memorial Hermann failed to renew their network contract Feb. 28, forcing the region's largest health system out of network for 100,000 members, according to the Houston Chronicle.

BCBS of Texas, Memorial Hermann near new contract deadline

BlueCross BlueShield of Texas has until Feb. 28 to strike up a new network agreement with Houston-based Memorial Hermann Health System, according to Click2Houston.

OptumRx to pay Massachusetts $5.8M to settle pricing allegations

UnitedHealth Group's pharmacy benefit manager OptumRx is settling with the state of Massachusetts over claims that it failed to follow prescription pricing procedures, attorney general Maura Healey announced Feb. 24.

Blue Shield exec: Sutter contracts were expected by patients

While Sutter Health allegedly pressured payers to contract with its entire network, a Blue Shield executive said that payers also feared failure to reach an agreement would cause patients to leave for other insurers, according to a Feb. 22 Law360…

As Kansas' $3.9B Medicaid contract enters legislative limbo, 3 payers watch carefully

Kansas lawmakers are going back and forth on rebidding the state's $3.9 billion Medicaid contract, which could impact the three payers who currently hold it, according to Sunflower State Radio.

Independence Blue Cross adds Medicare Advantage-focused Patina Medical Group to network

Independence Blue Cross is bringing Bala Cynwyd, Pa.-based Patina Medical Group into its provider network, the payer announced Feb. 22.

Mississippi Medicaid director calls legislation to ban Centene contract 'hazardous'

Drew Snyder, director of the Mississippi Division of Medicaid, described the state legislature's move to ban Centene's Medicaid contract as hazardous, and likely to result in litigation against the state, according to a Feb. 17 Daily Journal report.