11 updates on payer-provider relationships

Here are 11 recent articles posted by Becker's Hospital Review that concern payer-provider relationships:

1. Cigna, Massachusetts hospital avoid service disruption with 3-year contract
After more than 10 months of negotiations, Mercy Medical Center in Springfield, Mass., agreed to a new three-year contract with Cigna.

2. UnitedHealth, Optum offer care + coverage under new package            
UnitedHealth Group and its health services subsidiary Optum are undertaking a new effort to combine health insurance and medical care.

3. Georgia health system to stop treating Anthem members as in-network           
Gainesville-based Northeast Georgia Health System will stop considering Anthem members in-network Dec. 31, three months after its contract with Anthem expired.

4. Contract negotiations between Indiana hospital, Anthem stall            
Memorial Hospital and Health Care Center in Jasper, Ind., and Anthem Blue Cross Blue Shield have hit an impasse in their contract negotiations.

5. Cook County Health to offer Medicare Advantage plan            
Cook County Health, a safety-net hospital in Chicago, partnered with Medicare Advantage plan MoreCare to offer benefits to eligible residents in Cook County.

6. Contract between Cigna, Mission Health in jeopardy            
Patients may lose in-network access to Mission Health if their health insurer Cigna ends its relationship with the Asheville, N.C.-based hospital.

7. OhioHealth reenters Anthem's Medicare network            
Columbus-based OhioHealth is now back in network with Anthem Blue Cross and Blue Shield's Medicare Advantage plans after a contract dispute in 2018.

8. BCBS of Texas unveils first of 10 primary care clinics            
Blue Cross and Blue Shield of Texas and global primary care provider Sanitas Medical Center debuted their first of 10 advanced primary care centers set to open in the Dallas and Houston regions.

9. Medicare overpays hospitals $1B each year for graduate medical education, study finds        
Medicare overpaid hospitals about $1.3 billion in 2015 for the government's Teaching Health Center Graduate Medical Education program.

10. WVU Medicine unveils Medicare Advantage product through planned merger            
West Virginia University Health System, a nine-hospital system in Morgantown, will launch a Medicare Advantage product with a health plan it's in the process of acquiring.

11. UnitedHealth buys Virginia Medicare Advantage plan           
A UnitedHealth Group subsidiary bought a Medicare Advantage plan in Virginia for an undisclosed amount.

More articles on payers:
CMS sanctions UnitedHealthcare plan: 3 things to know
The 2020 Medicare plans with 5 stars
UnitedHealth posts $5B profit in Q3

© Copyright ASC COMMUNICATIONS 2019. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.

 

Top 40 Articles from the Past 6 Months