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In major reversal, California awards additional Medicaid contracts
California is awarding more payers contracts to manage its Medicaid program, reversing course on contract awards that could have forced two million Medi-Cal members to switch insurance. -
BCBS Tennessee, Methodist Le Bonheur Healthcare split after failed negotiations
Memphis, Tenn.-based Methodist Le Bonheur Healthcare is out of network with Blue Cross Blue Shield of Tennessee after the sides were unable to reach a new agreement by Dec. 31, the Memphis Commercial Appeal reported Jan. 2. -
Cigna, ProMedica finalize contract
Cigna and Toledo, Ohio-based ProMedica have finalized an agreement to keep the health system's patients in network with the payer, ABC affiliate WTVG reported Dec. 29. -
UnitedHealthcare, Upstate University Hospital temporarily extend contract affecting 20K patients
UnitedHealthcare is extending its contract with Syracuse, N.Y.-based Upstate University Hospital by two months as the sides look to avoid a coverage disruption for about 20,000 patients, syracuse.com reported Dec. 29. -
BCBS Oklahoma, Stillwater Medical Center hit contract impasse
Stillwater (Ok.) Medical Center could go out of network with BlueCross BlueShield of Oklahoma on May 1, 2023, if the sides are unable to agree on a new contract, the Stillwater News Press reported Dec. 28. -
Anthem Blue Cross, Hazel Hawkins strike contract agreement
Anthem Blue Cross and Hollister, Calif.-based Hazel Hawkins Memorial Hospital have agreed on a new contract, which will take effect Jan.1, Benito Link reported Jan. 28. -
Highmark, Catholic Health ink deal ahead of deadline
Highmark Blue Cross Blue Shield of Western New York and Buffalo, N.Y.-based Catholic Health have reached a three-year deal days before their previous contract was set to expire, the Buffalo News reported Dec. 28. -
Humana, TriWest tapped for $136B Tricare managed care contracts
Humana Military and TriWest Healthcare Alliance have been awarded the Defense Department's Tricare managed care support contracts. -
Kroger inks new contract with Prime Therapeutics ahead of Express Scripts exit
Kroger and Prime Therapeutics have agreed to a new contract. -
Cigna, ProMedica agree on new contract
Cigna and Toledo, Ohio-based ProMedica have reached a verbal agreement for 2023, the Toledo Blade reported Dec. 21. -
8 recently inked payer-provider contracts
Payers are settling disputes with health systems and adding new value-based contracts. -
Regence BlueShield of Washington, Optum-owned clinics extend current contract as negotiations continue
Regence BlueShield of Washington and Optum-owned Polyclinic and Everett Clinic have extended their current contract through Dec. 23 as the two sides attempt to work out a deal to keep 19,000 patients in-network, The Seattle Times reported Dec. 19. -
Cigna, Florida health system strike multi-year deal after contract dispute
Cigna and Titusville, Fla.-based Parrish Healthcare have reached a new multi-year contract that will keep the payer's members in-network with Parrish Medical Center and Parrish Medical Group physicians. -
Independence Blue Cross, Jefferson Health ink new contract, expand value-based agreement
Independence Blue Cross and Philadelphia-based Jefferson Health have agreed to a long-term contract renewal that will expand value-based care and add Einstein Health Network and Jefferson Health New Jersey to Independence's network. -
California health system could split with UnitedHealth, Anthem, Cigna
Clovis, Calif.-based Community Health System is facing Dec. 31 contract deadlines with several major payers, including UnitedHealthcare, Cigna and Anthem Blue Cross, The Fresno Bee reported Dec. 19. -
Catholic Health, Independent Health ink contract as possible break with Highmark looms
Independent Health has inked a two-year agreement with Buffalo, N.Y.-based Catholic Health, The Buffalo News reported Dec. 16. -
BCBS Mississippi, UMMC end bitter dispute
Blue Cross and Blue Shield of Mississippi and the University of Mississippi Medical Center in Jackson have reached a contract agreement, ending one of the more intense payer-provider disputes over reimbursement rates in 2022. -
Regence BlueShield, Virginia Mason Franciscan Health partner on accountable health network
Regence BlueShield and Seattle-based Virginia Mason Franciscan Health are partnering to launch an accountable health network Jan. 1 they say will provide "affordable, accessible and high-quality care to patients across the Puget Sound region." -
BCBS Massachusetts adds health equity to contracts with health systems
Blue Cross Blue Shield of Massachusetts has created a financial payment model that rewards health systems and physicians for eliminating racial and ethnic inequalities to care. -
BCBS Michigan inks full-risk reimbursement arrangements with 6 providers
Blue Cross Blue Shield of Michigan and six physician organizations are launching a full-risk reimbursement arrangement for their Medicare Advantage PPO and Blue Care Network Medicare Advantage plans.
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