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UnitedHealthcare, Mount Sinai near split date
New York City-based Mount Sinai Health System could go out of network with UnitedHealthcare on Jan. 1 if the two sides are unable to reach a new contract. -
BCBS Illinois, Springfield Clinic end 2-year dispute
Springfield (Ill.) Clinic will be back in network with Blue Cross Blue Shield of Illinois for the first time in more than two years, BCBS told Becker's Dec. 22. -
Kentucky health system dropping UnitedHealth, Centene Medicare Advantage plans
Louisville, Ky.-based Baptist Health will be out of network with UnitedHealthcare and Centene's Wellcare Medicare Advantage plans, effective Jan. 1, 2024. -
Adventist, Blue Shield of California cut ties across 17 hospitals
Roseville, Calif.-based Adventist Health and Blue Shield of California have gone out of network across 17 hospitals. -
Arizona awards long-term managed care contracts to UnitedHealth, Centene
Arizona has awarded long-term managed care contracts to Centene and UnitedHealthcare. -
UnitedHealthcare, Baptist Health near split date
Little Rock, Ark.-based Baptist Health could go out of network with UnitedHealthcare Medicare Advantage plans if the sides are unable to reach an agreement by Dec. 31, Arkansas Money & Politics reported Nov. 30. -
Anthem, Wellstar agree to 4-year contract
Anthem Blue Cross and Blue Shield of Georgia and Marietta, Ga.-based Wellstar Health System have agreed to a new contract that will keep Wellstar patients in network with the payer through May 2027. -
Pennsylvania health system drops Cigna
West Reading, Pa.-based Tower Health will be out of network for all Cigna Healthcare members starting Jan. 1 following a disagreement over reimbursement rates, the Reading Eagle reported Nov. 24. -
Tennessee extends Medicaid contracts without Centene
Tennessee has extended three managed Medicaid contracts with UnitedHealthcare, BCBS and Elevance's Amerigroup for one additional year, the Tennessee Lookout reported Nov. 15. -
Cigna, MUSC strike new deal
Charleston, S.C.-based MUSC Health and Cigna have reached a new contract agreement just weeks before their contract was set to expire, The Post and Courier reported Nov. 14. -
Aetna, OHSU reach new deal
Portland-based Oregon Health & Science University and Aetna have averted a looming contract split. -
BCBS Illinois fined a third time for network adequacy law violations
The Illinois Department of Insurance has fined Health Care Service Corp., the parent company of Blue Cross Blue Shield of Illinois, nearly $1.2 million in less than two years for violating the state's Network Adequacy and Transparency Act, which requires payers to publish complete and accurate provider directory information. -
Humana, Memorial Hermann at impasse as deadline nears
Houston-based Memorial Hermann issued termination notices for Humana's Medicare Advantage HMO and PPO networks and could go out of network if a new deal is not reached by Jan. 1, Houston Public Media reported Jan. 1. -
Georgia seeks bidders for $6B Medicaid contracts
Georgia is seeking bids from payers to manage the state's Medicaid program. -
Aetna, OHSU at odds over new contract
About 30,000 Aetna beneficiaries are at a risk of losing coverage at Portland-based Oregon Health & Science University if the sides are unable to agree on a new contract by Dec. 31, the Lund Report reported Oct. 24. -
Ohio health system dropping Anthem, Humana Medicare Advantage plans
Zanesville, Ohio-based Genesis Healthcare System is dropping Anthem and Humana Medicare Advantage plans in 2024. -
Phoenix Children's, Aetna strike deal
Phoenix Children's and Aetna have reached a new contract agreement. -
Oregon health system drops Humana, Centene Medicare Advantage plans
St. Charles Health System in Bend, Ore., will no longer be in-network with Humana and Centene subsidiaries HealthNet and WellCare Medicare Advantage plans in 2024. -
Southeast Georgia Health System to end Medicare Advantage contract with Centene subsidiary
Brunswick-based Southeast Georgia Health System will terminate its contract with the WellCare Medicare Managed Care Plan on Dec. 8. -
Oregon health system threatening Medicare Advantage split strikes deal with PacificSource
A health system that encouraged its patients to avoid Medicare Advantage plans has found common ground with at least one MA insurer.
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