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.
More articles on payer issues:
Lee Health threatens to cut ties with WellCare Health Plans in 2019
Contracts between BCBS, 3 Oklahoma community hospitals expire
Minnesota’s reinsurance program projected to cost less than half of estimated $310M
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