Payer Contracting

Florida has awarded Medicaid contracts to three additional payers.

UnitedHealthcare of New England and Neighborhood Health Plan of Rhode Island were selected to manage Rhode Island's Medicaid program over the next five years, the Rhode Island Current reported July 16. 

The largest health insurance purchaser in Western New York will award its employee health plan to Univera Healthcare, Buffalo News reported July 11. 

Fort Myers, Fla.-based Lee Health's Physician Group primary care providers will be out of network with Florida Blue's Medicare Advantage plans by September.

The Kansas Department of Administration rejected challenges to the state's Medicaid contract procurement process from Aetna and CareSource, the Kansas Reflector reported July 8. 

A North Carolina state court has sided with the state in its decision to award Aetna its health plan contract for public employees over Blue Cross Blue Shield of North Carolina.

Sentara Health Plans and Virginia Children's Care Network are launching a value-based partnership to improve outcomes and lower costs for children enrolled in Medicaid. 

Several Trinity Health hospitals from coast to coast are now out of network with UnitedHealthcare amid reimbursement disputes between the organizations.

Aetna and Springfield, Ill.-based Hospital Sisters Health System have reached a tentative agreement, avoiding a contract termination that was set to take effect July 1. 

Cook Children's Health Plan is challenging Texas's Medicaid contract awards in court.