35 payer-provider disputes, agreements so far in 2017

Here are 35 contract resolutions and dissolutions between payers and providers reported by Becker's Hospital Review since Jan. 1.

They are listed below, beginning with the most recent.

1. Saint Francis Muskogee (Okla.) and Tulsa-based Blue Cross Blue Shield of Oklahoma ended their interim in-network agreement May 31.

2. Dallas-based Tenet Healthcare and Louisville, Ky.-based Humana amended their multiyear provider network agreement to take effect June 1.

3. St. Petersburg, Fla.-based Johns Hopkins All Children's Hospital is no longer in Minnetonka, Minn.-based UnitedHealthcare's network following the hospital's request for a 35 percent reimbursement hike.

4. Huntingdon Valley, Pa.-based Holy Redeemer Health System and Philadelphia-based Independence Blue Cross inked a three-year agreement to maintain in-network services at the health system for Independence policyholders. 

5. Tupelo-based North Mississippi Health Services signed a three-year contract with UnitedHealthcare before the parties' temporary agreement expired May 31.

6. Carrollton, Mo.-based Carroll County Memorial Hospital and Lexington-based Anthem Blue Cross and Blue Shield of Kentucky extended their network agreement to include the insurer's health maintenance organization and preferred provider organization plans.

7. Memphis, Tenn.-based Saint Francis Healthcare and Humana inked a provider network agreement after going out of network with each other in October 2016. 

8. San Francisco-based Dignity Health's Arizona hospitals are no longer in Woodland Hills, Calif.-based Health Net's network following unresolved disputes about reimbursement rates.

9. Huntsville (Ala.) Hospital Health System extended its relationship with UnitedHealthcare to include Medicare Advantage policyholders.

10. Dayton, Ohio-based Premier Health is out of network with UnitedHealthcare following the parties' inability to reach a contract resolution before their May 14 deadline.

11. Tucson, Ariz.-based Northwest Healthcare reached a network agreement with UnitedHealthcare. 

12. Memphis, Tenn.-based Baptist Memorial Health Care Corp. will replace Memphis-based Methodist Le Bonheur Healthcare as an in-network hospital in Chattanooga-based BlueCross BlueShield of Tennessee's Network S. 

13. Hartford (Conn.) HealthCare and UnitedHealthcare signed a two-year provider network agreement.

14. West Orange, N.J.-based RWJBarnabas Health and Hartford, Conn.-based Aetna signed an agreement to continue in-network care for Aetna members at RWJBarnabas hospitals and physician facilities.

15. Little Rock, Ark.-based CHI St. Vincent, part of Englewood, Colo.-based Catholic Health Initiatives, settled a contract dispute with UnitedHealthcare.

16. Independence Blue Cross and Philadelphia-based University of Pennsylvania Health System contracted to share responsibility for quality and care costs.

17. Nashville, Tenn.-based Vanderbilt Health Affiliated Network and Humana entered a four-year value-based agreement.

18. Indianapolis-based Anthem BlueCross BlueShield in Colorado and Centennial, Colo.-based Centura Health reached a contract agreement March 30.

19. Philadelphia-based Temple University Health System and Independence Blue Cross agreed to extend their contract 18 months, effective at the beginning of 2017.

20. Grand Island, Neb.-based CHI Health, part of Englewood, Colo.-based Catholic Health Initiatives, entered Omaha-based Blue Cross Blue Shield of Nebraska's Medicare Advantage network April 1.

21. Chickasha, Okla.-based Grady Memorial Hospital reached a preferred provider organization agreement with Blue Cross and Blue Shield of Oklahoma.

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

23. Tenet Healthcare inked a multiyear contract with Richardson-based Blue Cross and Blue Shield of Texas ahead of the agreement's April 15 termination date. 

24. 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.

25. Memphis, Tenn.-based Methodist Le Bonheur Healthcare and Humana inked an agreement to allow the insurer's Medicare Advantage members to access the health system at in-network rates.

26. Ontario, Calif.-based Prime Healthcare Services will remain in-network with Anthem Blue Cross after backtracking on plans to end its contract with the Indianapolis-based insurer hours after the decision was publicized.

27. Greenville, S.C.-based Bon Secours St. Francis Health System and UnitedHealthcare extended their previously terminated contract through June 30 to avoid a lapse in in-network coverage for approximately 10,000 patients.

28. Blue Cross and Blue Shield of Minnesota reached a separate contract with each of Duluth, Minn.-based Integrity Health Network's 20 affiliated clinics, avoiding the clinics' scheduled Feb. 1 exit from the insurer's provider network.

29. Grand Rapids, Mich.-based Priority Health and Flint, Mich.-based McLaren Health Care agreed to add McLaren hospitals and physicians to the Priority Health network.

30 Atlanta-based Grady Health System and Aetna agreed to a new contract to keep all Grady hospitals and physicians in Aetna's network. 

31. Aetna and a physicians group at the University of Maryland in College Park agreed to coordinate patient care to enhance patient outcomes while reducing healthcare expenses. 

32. Buffalo-based BlueCross BlueShield of Western New York and Roswell Park Caner Institute in Buffalo, N.Y., reached a three-year agreement to continue in-network access to the institute and its affiliated physicians for the insurer's policyholders.

33. The majority of Columbia-based BlueCross BlueShield of South Carolina Blue Essentials policyholders will no longer have access to out-of-state healthcare services at in-network rates, effective Jan. 1.

34. Boca Raton (Fla.) Regional Hospital and Humana renewed their contract, allowing Humana policyholders to access the hospital's services at discounted rates.

35. Jacksonville-based Blue Cross and Blue Shield of Florida networked with Retreat Premier Addiction Treatment Centers in Palm Springs, Fla., to provide policyholders access to addiction treatment services.  

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