Mission Health to cut ties with BCBS, Mayo Clinic’s health plan to exit Wisconsin individual market & more — 7 payer highlights

The following payers made headlines this past week, beginning with the most recent.

Advertisement

1. Mission Health to terminate BCBS of North Carolina contract
Asheville, N.C.-based Mission Health System plans to leave Durham-based Blue Cross and Blue Shield of North Carolina’s network by Oct. 5. 

2. New Jersey OKs cap on Horizon BCBS surplus
A budget passed Monday by New Jersey lawmakers includes a reserve cap for Newark-based Horizon Blue Cross Blue Shield of New Jersey.

3. Baptist Health insurance arm to pull fully insured products from market
Lexington, Ky.-based payer Baptist Health Plan, the managed care subsidiary of Louisville, Ky.-based Baptist Health, stopped offering fully insured health plans July 1.

4. Mayo Clinic’s health insurance plan to stop individual coverage in Wisconsin
Rochester, Minn.-based Mayo Clinic Health System’s insurance plan, Health Tradition Health Plan, will stop offering individual policies in Wisconsin in 2018.

5. 4 CHS hospitals to remain in Capital BlueCross network after PinnacleHealth acquisition
Four hospitals recently acquired by Harrisburg, Pa.-based PinnacleHealth from Franklin, Tenn.-based Community Heath Systems will stay in Capital BlueCross’ provider network.

6. Centene fills insurance gap in Missouri’s ACA exchange
St. Louis-based Centene Corp. will sell health plans on Missouri’s ACA exchange next year, covering counties that previously had no participating insurers.

7. Children’s Minnesota out of network with BCBS; 66k policyholders affected by contract dispute
Minneapolis-based Children’s Minnesota went out of network with Eagan-based Blue Cross and Blue Shield of Minnesota July 5. 

More articles on payer issues:
Children’s Minnesota out of network with BCBS; 66k policyholders affected by contract dispute 
11 payer-provider contract disputes, resolutions in June
Why Geisinger stays in the ACA exchanges, Aetna and Medtronic team up & more — 13 payer key notes

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.

Advertisement

Next Up in Payer

Advertisement

Comments are closed.