4 health systems on the brink of dropping payers

Here are four health systems on the verge of ending in-network agreements with payers.

1. Annapolis, Md.-based Anne Arundel Medical Center and Baltimore-based CareFirst BlueCross BlueShield may end their in-network agreement due to reimbursement disputes. AAMC said it will terminate its contract if the two sides fail to reach a resolution by Sept. 30.

2. Oklahoma City-based Integris Health and Tulsa-based Blue Cross Blue Shield of Oklahoma reached a stalemate in contract negotiations. An in-network agreement between the payer and provider concludes Aug. 31. The parties are in a 60-day contract extension period, but all Integris hospitals and ancillary facilities will be out-of-network with BCBSOK by Sept. 1 if a resolution is not inked.

3. Asheville, N.C.-based Mission Health System plans to leave Durham-based Blue Cross and Blue Shield of North Carolina's network by Oct. 5. Some Mission Health physicians would remain in-network with the payer until March 2, 2018, if a resolution is not reached.

4. Cleveland Clinic said CareSource, a Dayton, Ohio-based Medicaid managed care plan, may end its in-network relationship with the clinic. If a resolution is not inked, affected policyholders would lose in-network access to Cleveland Clinic Sept. 1. 

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