5 updates on payer-provider relationships

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

1. MaineHealth, Anthem launch joint venture
MaineHealth in Portland is creating a joint venture with Anthem Blue Cross and Blue Shield of Maine to sell Medicare Advantage policies for 2020.

2. Highmark CEO says new UPMC deal will attract members, but hospitals differ on patient retention post-feud
The CEO of Highmark Health said he thinks a new 10-year agreement with UPMC will draw members to Highmark's insurance products, but affiliate hospitals are seeing mixed results after the landmark deal.

3. Anthem mistakenly tells patients Virginia provider is out of network: 'It can create a panic,' physician says
A coding issue led Anthem to mistakenly notify patients in Virginia that their physician was out of network.

4. Aetna in hot water after Kansas officials dismiss response to Medicaid troubles
Aetna's plan to correct Medicaid payment and network deficiencies falls short, Kansas health officials said Aug. 13.

5. Kentucky health system to reduce million-dollar 'shock claims' up to 45% under Anthem deal
St. Elizabeth Healthcare, a five-hospital system in Edgewood, Ky., is voluntarily participating in a new effort launched by Anthem Blue Cross and Blue Shield to lower unexpected, sometimes million-dollar medical bills.

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