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Several Tenet Healthcare facilities in Massachusetts and other states are set to go out of network with Cigna Jan. 1. In recent ads with Worcester, Mass.-based Telegram & Gazette, the health system has called Cigna "unsure-ance" due to the dispute.

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In an opinion piece published by the Houston Chronicle, the president of Blue Cross and Blue Shield of Texas wrote that healthcare delivery systems in rural parts of the state are "on life-support or nonexistent."

Two Duke LifePoint hospitals are no longer in UnitedHealthcare's network and three other hospitals owned by the Brentwood, Tenn.-based health system are at risk of being out of the insurer's network Jan. 1, according to North Carolina Health News.

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