Highlights of new payer-provider contracts in 2023 include Cigna’s agreement with Baton Rouge General, BCBS Arizona’s returning to the network with Dignity Health, and UnitedHealthcare’s contracts with Hillcrest HealthCare and the University of Vermont Health Network. Other notable contracts involve Aetna, Anthem, Humana, and various regional Blue Cross Blue Shield plans. These agreements ensure patients’ continued access to care and maintain important network relationships between payers and providers.
Highlights of new payer-provider contracts established in 2023 include significant agreements between major healthcare payers and providers, ensuring continued access to care and maintaining important network relationships for patients and healthcare stakeholders.
Becker has reported on several new payer contracts established in 2023. Here are the key details:
May:
– Cigna has reached a new contract agreement with Baton Rouge General, while the hospital remains out of network with Aetna.
April:
– BCBS Arizona is now back in network with Dignity Health Yavapai Regional Medical Center in Prescott, Arizona, after both parties agreed to a new contract, effective retroactively from April 1.
– Empire Blue Cross has established a new contract agreement with Ellis Medicine in Schenectady, New York.
– UnitedHealthcare and Hillcrest HealthCare System in Tulsa, Oklahoma, have agreed to a new contract, avoiding a potential split that was scheduled for May 1.
– Aetna has reached a contract agreement with the six University of California health systems, averting a split that could have impacted numerous patients.
– BCBS Oklahoma and Stillwater Medical Center have extended their current contract through the end of 2023.
– BCBS Texas and Medical City Healthcare in Dallas have reached an agreement after months of negotiations on care costs.
– Anthem Blue Cross Blue Shield and the Christ Hospital in Cincinnati have established a new contract agreement just one day before the potential network termination.
March:
– UnitedHealthcare and CaroMont Health in Gastonia, North Carolina, have reached an agreement on a new contract, preventing a split set for April 1.
– UnitedHealthcare and the University of Vermont Health Network in Burlington have agreed to extend their current contract through December 31, avoiding a potential split starting April 1.
– Humana and Vanderbilt University Medical Center have reached an agreement, preventing a contract break planned for April 1.
– UnitedHealthcare and Cigna are now back in network with Community Health System in Fresno, California, while the system remains out of network with Anthem Blue Cross as of March 7.
February:
– ConnectiCare has reached a new contract with Prospect Medical Holdings, avoiding a split that could have affected 6,500 beneficiaries.
– Molina Healthcare is now in a network with three Prime Healthcare hospitals in Texas.
– Blue Cross and Blue Shield of Oklahoma and Ascension St. John have established a new contract agreement to keep BCBS members in-network at seven Oklahoma hospitals and medical centers.
– Anthem Blue Cross Blue Shield and Mary Washington Healthcare in Fredericksburg, Virginia, have reached a new contract agreement, preventing a split set for March 1.
– Medical Mutual of Ohio and Kroger Health have agreed to provide in-network services to Medical Mutual’s Medicare Advantage members.
– Centene and Cox Health in Springfield, Missouri, have reached an agreement to keep Centene’s Medicaid beneficiaries in-network.
– BlueCross BlueShield of Tennessee and Methodist Le Bonheur Healthcare has reached a contract agreement for plans covering Medicaid beneficiaries.
January:
– Blue Cross and Blue Shield of Texas and Ascension Texas have established a new contract agreement, averting a potential network termination affecting 66,000 patients.
– CVS Accountable Care Organization and Rush University System for Health in Chicago are collaborating on ACO REACH participation for Medicare members in the area.
– Blue Cross Blue Shield of Texas and Hendrick Health in Abilene, Texas, have extended their contract agreement through April 30.
– Cigna of Ohio and Mercy Health in Cincinnati have reached an agreement to keep over 12,000 patients in-network.
– Aetna and Community Healthcare System in Munster, Indiana, have agreed to a contract extension, ensuring Aetna commercial and Medicare Advantage members remain in-network.
These new contracts provide continued access to care for patients and maintain important network relationships between payers and providers.
