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California payer drops 4 Prime hospitals
CalOptima, a Medicaid insurer in Orange County, Calif., terminated its contract with four hospitals owned by Ontario, Calif.-based Prime Healthcare on Feb. 5. -
UnitedHealthcare facing split with Arkansas system
UnitedHealthcare and Jonesboro, Ark.-based St. Bernards Healthcare have been unable to reach a new contract as several deadlines approach, Arkansas Business reported Feb. 5. -
BCBS Arizona, Dignity Health split
Blue Cross Blue Shield of Arizona is out of network with San Francisco-based Dignity Health's Arizona locations as of Feb. 1. -
Idaho state health plan to switch from Blue Cross to Regence BlueShield
Idaho's state health plan administrator is set to switch from Blue Cross of Idaho to Regence BlueShield of Idaho in July, the Idaho Capital Sun reported Jan. 29. -
BCBS North Carolina's challenge for $17.5B state contract can continue, judge rules
Blue Cross Blue Shield of North Carolina's legal challenge to win back the state health plan contract it lost to Aetna can continue, the News and Observer reported Jan. 24. -
Highmark snags Medicaid contract in West Virginia
West Virginia has awarded Highmark Blue Cross Blue Shield of West Virginia a four-year Medicaid managed care contract. -
New Hampshire awards Medicaid contracts
New Hampshire has awarded three payers contracts to manage the state's Medicaid managed care programs. -
Trinity, Anthem ink 'breakthrough' value-based Epic partnership
Livonia Mich.-based Trinity Health and several Anthem BCBS health plans have signed a new multi-year provider network contract that includes advanced collaboration on data connectivity and value-based reimbursement models through the Epic Payer Platform. -
4 Medicare Advantage contracts recently terminated by CMS
CMS uses star ratings to determine the quality of Medicare Advantage and Part D prescription drug plans. The agency may terminate a plan sponsor's contract to administer Medicare benefits if it achieves a rating of less than three stars for three consecutive contract years. -
ChristianaCare drops Humana Medicare Advantage
Newark, Del.-based ChristianaCare is out of network with Humana's Medicare Advantage plans as of Jan. 1. -
Kentucky health system drops UnitedHealth, Centene Medicare Advantage plans
Editor's Note: Under a new multi-year agreement, physicians of Baptist Health Medical Group will be in-network for Humana's Medicare Advantage members and commercial group accounts beginning April 1, 2024. -
CMS to terminate Medicare Advantage drug contracts with 2 Centene plans
CMS is terminating Centene's WellCare Medicare Advantage prescription drug plans in Arizona and North Carolina at the end of 2024 following three consecutive years of star ratings below three stars. -
Memorial Hermann drops Humana Medicare Advantage
Houston-based Memorial Hermann Health System is no longer in network with Humana's Medicare Advantage plans, effective Jan. 1. -
UnitedHealthcare, Baptist Health split
UnitedHealthcare went out of network with Little Rock, Ark.-based Baptist Health's hospitals and providers after the payer and health system were unable to reach a new contract. -
6 Mount Sinai hospitals out of UnitedHealthcare network amid dispute
UnitedHealthcare moved six Mount Sinai Health System hospitals out of network Jan. 1 amid a contract dispute between the payer and New York City-based health system, according to news releases from both organizations. -
Essence, Stanford Medicare Advantage plan exits California
A Medicare Advantage plan jointly owned by Essence Healthcare and Stanford (Calif.) Health Care exited the California market Jan. 1, spokespeople for the organizations confirmed with Becker's. -
Cigna, WakeMed reach agreement
Cigna and Raleigh, N.C.-based WakeMed have agreed to a two-year contract. -
UnitedHealthcare, Prisma Health split
UnitedHealthcare and Greenville, S.C.-based Prisma Health went out of network Jan. 1 after the two sides failed to reach a new agreement. -
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.
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