Payer Contracting

Aetna plans to protest Kansas' Medicaid contract awards, while UCare will stand down after losing an effort to win a contract in the state. 

New York City Mayor Eric Adams plans to ask the state's highest court to allow the city to implement an Aetna Medicare Advantage plan for its retired employees, the New York Daily News reported May 21.

North Platte, Neb.-based Great Plains Health plans to stop contracting with Medicare Advantage plans in 2025. 

Kansas awarded Medicaid contracts managing care for 458,000 individuals to Centene, UnitedHealthcare and Healthy Blue. 

Anthem Blue Cross Blue Shield and CommonSpirit reached an agreement to keep 11 CommonSpirit Health hospitals in Colorado in Anthem's network. 

The Texas Department of Health and Human Services provided Aetna with copies of other competitors' bids for Medicaid contracts in error, The Texas Tribune reported April 26. 

Aetna and San Francisco-based Dignity Health have reached an agreement on a multiyear contract that allows the payer's members to remain in network with Dignity's facilities and providers in California, Arizona and Nevada.   

Eight managed care organizations have filed notices of intent to challenge Florida's recent Medicaid contract awards, which provide health coverage to more than 3.4 million people, per Florida Politics.

A major shake-up in Texas's Medicaid contract awards could threaten the existence of some hospital-owned plans, The Texas Tribune reported April 18. 

Florida intends to award contracts to five organizations to administer its Medicaid managed care program, which provides health coverage to more than 3.4 million people, per Florida Politics.