7 payer-provider contract agreements, disputes

Becker's Hospital Review reported these seven contract resolutions and dissolutions between payers and providers this year, beginning with the most recent.

1. Froedtert South reaches 3-year agreement with Anthem
Kenosha, Wis.-based Froedtert South signed an in-network agreement with Anthem Blue Cross and Blue Shield.

2. Nemours reaches in-network agreement with managed care plan AmeriHealth Caritas
Wilmington, Del.-based Nemours Children's Health System joined Medicaid managed care plan AmeriHealth Caritas' provider network.

3. Centura Health, Cigna reach contract impasse as deadline looms
Centennial, Colo.-based Centura Health may no longer be part of Cigna's provider network if negotiations between the two parties falter.

4. UPMC, Highmark to extend in-network access to 10+ hospitals
UPMC and Highmark, both in Pittsburgh, inked a deal ensuring Highmark policyholders in-network access to UPMC's community and specialty hospitals.

5. Premier Health, UnitedHealthcare end 7-month impasse; 200k members in-network
Dayton, Ohio-based Premier Health and UnitedHealthcare agreed to a new, multiyear contract, effective Jan. 1.

6. Augusta Health goes out of network with Anthem
Fishersville, Va.-based Augusta Health's in-network contract with Anthem expired Dec. 31.

7. Humana Tricare members regain in-network access to 5 Tenet hospitals
Beneficiaries covered under Humana Tricare regained in-network access Jan. 1 to Birmingham, Ala.-based Brookwood Baptist Health's hospitals, outpatient centers and physician clinics, which are owned by Dallas-based Tenet Healthcare.

More articles on payer issues:
Trump administration moves to allow health insurance sales across state lines: 3 things to know
Centene adds 1.4M members during open enrollment 2018
5 payers in the headlines

© Copyright ASC COMMUNICATIONS 2020. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.


Featured Webinars

Featured Whitepapers