10 recent payer-provider contract disputes, resolutions

Becker's Hospital Review reported these 10 contract resolutions and dissolutions between payers and providers since Oct. 3, beginning with the most recent.  

1. Independence Blue Cross, Tower Health end contract dispute
Tower Health in West Reading, Pa. — formerly Reading Health System — and Independence Blue Cross inked a three-year contract, effective immediately.

2. Humana adds 2 Iora Health practices to value-based network
Two Boston-based Iora Health primary care practices joined Louisville, Ky.-based Humana's Medicare Advantage network in Arizona.

3. Vanderbilt University Medical Center not in-network with any plans sold on ACA exchange
Nashville, Tenn.-based Vanderbilt University Medical Center is not in-network with any insurer selling individual coverage on Tennessee's 2018 exchange.

4. Humana signs value-based agreement with 248-member physician group
Humana added Community Care Physicians in Latham, N.Y., to its value-based Medicare Advantage network. 

5. Detroit Medical Center, BCBS sign value-based reimbursement contract
Detroit Medical Center and Blue Cross Blue Shield of Michigan, also in Detroit, will collaborate on a value-based reimbursement model for the eight-hospital system. 

6. Mission Health, BCBS end contract: 5 things to know
Asheville, N.C.-based Mission Health System's contract with Durham-based Blue Cross and Blue Shield of North Carolina expired following a monthslong feud.

7. Hartford HealthCare, Aetna reach in-network deal
Members of Hartford, Conn.-based Aetna will maintain in-network access to Hartford (Conn.) HealthCare after the payer and provider renewed a contract set to expire in three months.

8. Augusta Health to terminate in-network contract with Anthem
Fishersville, Va.-based Augusta Health notified Anthem BlueCross BlueShield in Richmond, Va., it will terminate its contract with the payer by 2018.

9. Sanford Health, HealthPartners team up for Medicare plans
Sioux Falls, S.D.-based Sanford Health and HealthPartners, a Minneapolis-based health plan managing government insurance, will launch Medicare plans in North Dakota and South Dakota effective Jan. 1.

10. Cleveland Clinic, Humana unveil 2 joint Medicare Advantage plans
Cleveland Clinic and Humana created two Medicare Advantage plans for patients in Ohio's Cuyahoga County.  

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