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North Carolina provider Tryon drops Humana Medicare Advantage members
Tryon Medical Partners, the largest independent primary care provider in the Charlotte, N.C.-area, is no longer in-network with Humana Medicare Advantage plans, NC Health News reported Oct. 3. -
Southwestern Health Resources seeks $900M increase from BCBS Texas
Farmers Branch, Texas-based Southwestern Health Resources is seeking a more than $900 million increase over the next 32 months in a new contract with Blue Cross Blue Shield of Texas, the Dallas Morning News reported Sept. 29. -
9 new payer-provider contracts
Here are nine contract updates Becker's has reported since Sept. 7. -
Florida Blue, BayCare resolve contract dispute days before deadline
BayCare will stay in-network with Florida Blue, reaching an agreement days before the organizations in-network contracts were set to expire, BayCare said Sept. 28. -
Illinois health system won't commit to see Aetna Medicare Advantage members without a contract
Carle Health in Urbana, Ill., said it won't commit to treating Aetna Medicare Advantage members, the only health plan offered to Illinois state retirees, until it has a contract with the insurer, The News-Gazette reported Sept. 28. -
Nebraska picks 3 for Medicaid contracts
The Nebraska Department of Health and Human Services has selected three health plans to administer its Medicaid managed care program. -
BayCare pauses elective surgeries, procedures for Florida Blue members as contract expiration looms
BayCare Health System paused all elective surgeries and procedures for Florida Blue members Sept. 22 as the expiration date for the in-network contract between the two organizations approaches, WFTS reported. -
Flume Health tapped to help launch Texas provider's plan
Harlingen, Texas-based direct primary care provider Frontier Direct Care has chosen Flume Health to help launch its new health plan. -
5 recent payer-provider contract breaks
From an impending expired contract between BCBS and Texas Health Resources to Penn State swapping Aetna for Highmark to administer employee benefits, these are five recent payer-provider contract breaks: -
Blue Cross, U of Mississippi Medical Center remain at impasse months after agreeing to mediation
Blue Cross and Blue Shield of Mississippi and Jackson-based University of Mississippi Medical Center have yet to reach a new contract more than four months after the sides agreed to a mediator, Mississippi Today reported Sept. 20. -
BCBS Texas, Southwestern Health Resources ending in-network services Oct. 3
Blue Cross and Blue Shield of Texas and Farmers Branch-based Southwestern Health Resources will have no in-network contract with each other after Oct. 3 without a new agreement, WFAA reported Sept. 20. -
Aetna cancels contract with senior transportation vendor after complaints from Ohio Medicaid
Aetna has canceled a contract with its vendor that provides transportation to low-income seniors in Ohio following complaints from beneficiaries and the state about no-show rides, WCPO reported Sept. 19. -
California hospital, Anthem terminate contract
Hollister, Calif.-based Hazel Hawkins Memorial Hospital's contract with Anthem Blue Cross has been terminated, NBC affiliate KSBW reported Sept. 19. -
Dec. 7 looms as breaking point for BCBS Texas, health system
Amarillo, Texas-based Baptist St. Anthony Health System will go out of network with Blue Cross and Blue Shield of Texas on Dec. 7 if the sides are unable to agree on a new contract, ABC affiliate KVII reported Sept. 19. -
Centene subsidiary awarded foster care contract
Centene's Texas-based subsidiary, Superior HealthPlan has been awarded a six-year contract to continue providing healthcare coverage for foster care youths through the State of Texas Access Reform Health Medicaid program. -
Montana awards health benefits contract to BCBS for 28K state employees
BlueCross BlueShield of Montana has been awarded a three-year contract to administer the state's employees health plan for 28,000 people. -
Court upholds Kentucky Medicaid contracts
Anthem Blue Cross and Blue Shield said it is reviewing its options after a panel of Kentucky appellate court judges upheld the state's 2020 managed care contract awards, the Louisville Courier Journal reported Sept. 15. -
CareSource seeking to enter Texas with Legacy Community Health partnership
Dayton, Ohio-based managed care organization CareSource is partnering with Texas' largest federally qualified health center with plans to participate in the procurement process for Medicaid contracts in two counties. -
Molina Healthcare gets largest Medicaid contract with California deal
With new or additional California Medicaid contracts in the offing, Molina Healthcare will add 1.4 million enrollees, mostly at Centene subsidiary HealthNet's expense, the Los Angeles Business Journal reported Sept. 12. -
Health Partners Plans expands into New Jersey
Philadelphia-based Health Partners Plans is expanding its Medicare Advantage coverage into Gloucester County, N.J., The Philadelphia Inquirer reported Sept. 12.
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