12 payer-provider contract disputes, resolutions in March

Here are 12 contract impasses and agreements that took place between payers and providers in March.

1. Premier Health, UnitedHealthcare contract dispute could affect 70k
Dayton, Ohio-based Premier Health and Minnetonka, Minn.-based UnitedHealthcare reached a contract impasse that could affect 70,000 policyholders.

2. Vanderbilt Health Affiliated Network, Humana sign value-based agreement for Medicare Advantage plans
Nashville, Tenn.-based Vanderbilt Health Affiliated Network and Louisville, Ky.-based Humana entered a four-year value-based agreement. 

3. Anthem, Centura settle contract terms ahead of deadline
Indianapolis-based Anthem BlueCross BlueShield in Colorado and Centennial, Colo.-based Centura Health reached a contract agreement March 30, a Centura spokesperson confirmed with Becker's Hospital Review

4. Temple University Health System, Independence Blue Cross extend contract 18 months
Philadelphia-based Temple University Health System and Independence Blue Cross agreed to extend their contract 18 months, effective at the beginning of this year.

5. CHI Health joins BCBS of Nebraska's Medicare network
Grand Island, Neb.-based CHI Health, part of Englewood, Colo.-based Catholic Health Initiatives, will enter Blue Cross Blue Shield of Nebraska's Medicare Advantage network beginning April 1.

6. Unsettled RWJBarnabas-Aetna contract puts 45k policyholders on notice
West Orange, N.J.-based RWJBarnabas Health may leave Hartford, Conn.-based Aetna's provider network if the two parties fail to agree on reimbursement rates.

7. Hartford HealthCare, UnitedHealthcare negotiations stall ahead of contract deadline
Hartford (Conn.) HealthCare warned patients with commercial or Medicare plans through Minnetonka, Minn.-based UnitedHealthcare and its subsidiary Oxford Health Plans may no longer be able to access all of its hospitals, facilities and physicians at in-network rates should the parties' contract dissolve. 

8. Grady Memorial Hospital, BCBS of Oklahoma reach in-network agreement
Chickasha, Okla.-based Grady Memorial Hospital reached a preferred provider organization agreement with Blue Cross and Blue Shield of Oklahoma.

9. Northwest Healthcare, UnitedHealthcare negotiations stall as contract termination looms
Tucson, Ariz.-based Northwest Healthcare and UnitedHealthcare in Minnetonka, Minn., reached a contract impasse that could affect thousands of patients' in-network access to Northwest's services by May 1.

10. Eastern Idaho Regional Medical Center, BCBS of Idaho reach agreement
Idaho Falls-based Eastern Idaho Regional Medical Center and Blue Cross of Idaho in Meridian signed a contract to provide in-network coverage to certain BCBSI policyholders seeking emergency and referred services at the medical center.

11. Tenet, BCBS of Texas sign multi-year agreement
Dallas-based Tenet Healthcare inked a multi-year contract with Richardson-based Blue Cross and Blue Shield of Texas ahead of the agreement's April 15 termination date. 

12. Children's Minnesota dumps contract with BCBS
Minneapolis-based Children's Minnesota terminated its contract with Eagan-based Blue Cross and Blue Shield of Minnesota, a decision that may result in more than 70,000 patients losing in-network access to the hospital's services.

Editor's note: This article was updated April 3 at 2:54 CT to reflect Anthem and Centura reached terms March 30. 

More articles on payer issues:
CHI Health joins BCBS of Nebraska's Medicare network
Kansas, other states pursue Medicaid expansion following AHCA withdrawal
Highmark names Dr. Charles DeShazer CMO 

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Top 40 articles from the past 6 months