Connecticut will continue contracting with Anthem Blue Cross and Blue Shield and Quantum Health to administer the state’s employee health plan and municipal partnership plan, which together cover more than 250,000 state and municipal workers, retirees and their dependents. Under…
Contracting
There was a time when a hospital contract renewal was one of the more boring events in healthcare. Health systems and payers would work through rate disputes in private, and patients rarely knew the process was happening, let alone that…
Nevada Medicaid is seeking proposals from insurers to offer a Coordination Only Dual Eligible Special Needs Plan. Proposals are due Feb. 17, with a contract expected to run from Jan. 1, 2027 through Dec. 31, 2030. The state may award…
More than 850,000 members of Horizon NJ Health, the managed Medicaid plan operated by Horizon Blue Cross Blue Shield of New Jersey, will lose in-network access to CVS pharmacies after April 30. The insurer is advising affected members to transfer…
Anthem Blue Cross and Montage Health’s Community Hospital of the Monterey Peninsula (Calif.) have established an agreement Jan. 26, just ahead of their end-of-month contract deadline, both organizations confirmed in a news release shared with Becker’s. The agreement keeps members…
Advertisement
Allentown, Pa.-based Lehigh Valley Health Network, part of Jefferson Health, will exit UnitedHealthcare’s Medicare Advantage network Jan. 26, following a contract dispute between the two organizations. Five things to know: 1. After months of negotiations, LVHN said UnitedHealthcare has not…
UnitedHealthcare and St. Louis-based SSM Health have reached a multi-year agreement Jan. 20, amid a contract extension through Jan. 31, according to a news release shared with Becker’s. The agreement ensures individuals with commercial and Medicaid plans can still receive…
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…