18 payer-provider contract disputes, resolutions in July

Becker's Hospital Review reported these 18 contract resolutions and dissolutions between payers and providers in July, beginning with the most recent. 

1. Vanderbilt University Medical Center, UnitedHealthcare resolve contract dispute
Nashville, Tenn.-based Vanderbilt University Medical Center and Minnetonka, Minn.-based UnitedHealthcare negotiated an in-network agreement.

2. Coverage shakeup in Cleveland: University Hospitals joins Medical Mutual of Ohio's SuperMed network
Cleveland-based Medical Mutual of Ohio SuperMed members will gain in-network access to all Cleveland-based University Hospitals facilities and providers for the first time in 20 years. 

3. AmericasHealth Plan inks risk-based contract with Anthem Blue Cross
Ventura, Calif.-based AmericasHealth Plan entered a risk-based contract with Indianapolis-based Anthem Blue Cross with the goal of improving care coordination and health outcomes for those covered under Anthem's Medicare Advantage plans in San Fernando Valley and Ventura County in California.

4. Amerigroup, Renaissance Physicians ink risk-based contract
Renaissance Physicians Organization entered a risk-based contract with Virginia Beach, Va.-based Amerigroup covering individuals with an Amerigroup Medicare Advantage plan in the Huston area.

5. Mission Health signs multiyear agreement with Cigna
Asheville, N.C.-based Mission Health System and Bloomfield, Conn.-based Cigna inked a multiyear contract effective Sept. 1.

6. Cleveland Clinic affiliate to maintain contract with CareSource
Cleveland Clinic-affiliated Ashtabula (Ohio) County Medical Center extended its agreement with Medicaid managed care plan Dayton, Ohio-based CareSource, despite a stalemate between Cleveland Clinic and the payer.

7. St. Elizabeth Healthcare, WellCare ink value-based contract
Edgewood, Ky.-based St. Elizabeth Healthcare and Lexington, Ky.-based WellCare, a Medicaid and Medicare managed care insurer, entered a value-based care contract to improve health outcomes of Medicaid and Medicare beneficiaries.  

8. Anne Arundel Medical Center may sever ties with CareFirst
Annapolis, Md.-based Anne Arundel Medical Center and Baltimore-based CareFirst BlueCross BlueShield may end their in-network agreement due to reimbursement disputes.

9. Negotiations stall between Integris, BCBS of Oklahoma as deadline looms
Oklahoma City-based Integris Health and Tulsa-based Blue Cross Blue Shield of Oklahoma reached a stalemate in contract negotiations.

10. Missouri Care signs contract with SSM Health to provide Medicaid coverage
Columbia-based Missouri Care, part of Tampa, Fla.-based managed care provider WellCare, signed a contract with St. Louis-based SSM Health including in-network access for Missouri Care's HealthNet managed care members. 

11. Mercy to join Anthem's provider network in Missouri
St. Charles, Mo.-based Mercy patients with health insurance through Anthem will be able to access Mercy providers at in-network prices beginning Jan. 1, 2018.

12. Mississippi Affiliated Health Network, Aetna sign value-based agreement
Mississippi Affiliated Health Network, a 13-hospital physician-led network in Jackson, aligned with Hartford Conn.-based Aetna for an integrated care delivery model.

13. Lee Health threatens to cut ties with WellCare Health Plans in 2019
Fort Myers, Fla.-based Lee Health may end its in-network contract with WellCare Health Plans in 2019.

14. Contracts between BCBS, 3 Oklahoma community hospitals expire
Blue Cross and Blue Shield of Oklahoma's contracts with three Kansas City, Mo.-based Rural Community Hospitals of America subsidiaries expired July 1 following failed negotiations.

15. Children's Minnesota back in network with BCBS
Minneapolis-based Children's Minnesota and Eagan-based Blue Cross and Blue Shield of Minnesota reached a deal July 7, saving 66,000 patients from paying out-of-network rates.

16. Aetna threatens to terminate Medicaid contracts if Illinois funding 'crisis' persists
Aetna Better Health, the managed care subsidiary of Aetna, filed a notice of intent to terminate its four Medicaid contracts with Illinois due to $698 million in outstanding payments. 

17. Mission Health to terminate BCBS of North Carolina contract
Mission Health System plans to leave Durham-based Blue Cross and Blue Shield of North Carolina's network by Oct. 5. 

18. 4 CHS hospitals to remain in Capital BlueCross network after PinnacleHealth acquisition
Four hospitals recently acquired by Harrisburg, Pa.-based PinnacleHealth from Franklin, Tenn.-based Community Heath Systems will stay in Capital BlueCross' provider network. 

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