8 payer-provider disputes, resolutions in November

Becker's Hospital Review reported these eight contract resolutions and dissolutions between payers and providers in November, beginning with the most recent.

1. CHI Franciscan, Humana team up for value-based payment model
Tacoma, Wash.-based CHI Franciscan Health and Humana collaborated on a value-based care payment model for the payer's Medicare Advantage members in Washington state.

2. OSF HealthCare, BCBS avoid going out-of-network with new contract
Peoria, Ill.-based OSF HealthCare signed an in-network agreement with Blue Cross and Blue Shield of Illinois Nov. 22.

3. UnityPoint Health reaches contract impasse with Medicaid insurer covering 54k
West Des Moines, Iowa-based UnityPoint Health notified about 54,000 patients it may end its contract with Amerigroup of Iowa, one of two insurers managing Medicaid coverage in the state. 

4. Mission Health, BCBS head to negotiating table
Asheville, N.C.-based Mission Health System and Blue Cross and Blue Shield of North Carolina resumed talks more than a month after their contract expired.

5. Anthem, Mercy Health ink provider agreement 
Cincinnati-based Mercy Health's The Jewish Hospital-Mercy Health, located in a Cincinnati suburb, joined Anthem's Medicare Advantage provider network.

6. Northwest Texas Health System, BCBS sign provider agreement 
Blue Cross and Blue Shield of Texas members gained in-network access to Amarillo-based Northwest Texas Health System facilities under a new contract.

7. Kaiser Permanente Northwest expands Oregon footprint with PeaceHealth agreement
Vancouver, Wash.-based PeaceHealth and Portland, Ore.-based Kaiser Permanente Northwest collaborated on healthcare delivery and coverage in Lane County, Ore.

8. 4 Oklahoma hospitals allege BCBS breached contract
Four rural Oklahoma hospitals sued Blue Cross Blue Shield of Oklahoma for allegedly breaching contract amid an ongoing rate dispute.

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