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Contracting

Four hospitals under Grand Rapids and Southfield, Mich.-based Corewell Health are no longer in UnitedHealthcare’s network, according to a Dec. 31 update from the insurer. As of Jan. 1, UnitedHealthcare does not cover the Dearborn, Taylor, Trenton and Wayne hospitals…

Cigna and Chattanooga, Tenn.-based Memorial Hospital — under Chicago-based CommonSpirit Health, formerly CHI Memorial — have not reached an agreement ahead of their Feb. 1 contracting deadline. “We have a longstanding relationship with Memorial Hospital and want them to remain…

As the end of 2025 approaches, so do a handful of payer-provider agreements.  Earlier this year, the number of contract disputes were down. While some insurers and health systems reach a resolution — either before or even after their deadlines…

Cigna and Dallas-based Tenet Healthcare reached an agreement in their contract dispute, a Cigna spokesperson confirmed Dec. 31 to Becker’s. Tenet has 64 hospitals, nearly 370 ambulatory surgical centers and roughly 2,000 providers across the country. “An agreement has been…

Health Care Service Corp.’s Blue Cross and Blue Shield of Texas and Austin-based Ascension Texas reached an agreement Dec. 31, just ahead of their end-of-year deadline, according to the insurer. Now, all members — spanning commercial, ACA and Medicare Advantage…

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Blue Cross and Blue Shield of Kansas has reached an agreement with Topeka-based University of Kansas Health System St. Francis Campus, also owned by Nashville, Tenn.-based Ardent Health Services, the insurer’s website said Dec. 24. The agreement retains coverage for…

CMS is terminating its Medicare Advantage contract with American Health Plan of Texas after the insurer failed to meet minimum quality standards for three consecutive years. The agency issued a notice of termination Dec. 17 to the Franklin, Tenn.-based company,…

The Michigan Department of Health and Human Services is seeking bids from organizations interested in serving as the state’s pharmacy benefit administrator.  The state’s pharmacy programs provide prescription drug coverage for Medicaid beneficiaries and related health programs, along with pharmacy…

Chapel Hill-based University of North Carolina Health and Cigna have established a “long-term” agreement to maintain coverage, according to a Dec. 12 news release from the health system. UNC Health and Cigna previously missed their Dec. 1 contracting deadline, prompting…

Aetna and Providence Oregon have reestablished their contract, according to a Dec. 4 post from the hospital network. The multiyear agreement brings the hospitals back in network after nearly a year. The contract originally expired Dec. 31, 2024, OregonLive reported,…

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