Ongoing payer-provider contract disputes and splits include: beckers Reported for 2023.
Network exits and splits
Blue Cross Blue Shield of Arizona It is out of network with Dignity Health Yavapai Regional, based in Prescott, Arizona. Payers said the split will affect about 20% of Yavapai County’s 58,000 beneficiaries. Emergency care at the Yavapai Regional Medical Center will continue to be covered by in-network rates.
united health careThe Medicaid Managed Care Plan has been disconnected from Philadelphia-based Temple Health since February 1.
Blue Cross Blue Shield of Tennesseeof The commercial plan has been out of network with Memphis, Tennessee-based Methodist Le Bonheur Healthcare since December 31, 2022. The two reached his Medicaid membership deal on February 8th.
anthem blue cross has been out of network with the Community Health System based in Clovis, CA since December 31, 2022. The system is negotiating new contracts with Cigna and UnitedHealthcare.
Washington’s Regence Blue Shield.
Upcoming split
Several Etna If the two organizations do not agree to the new agreement, the plan will be out of UC San Diego Health’s network on April 7th.
Vanderbilt University Medical Center The Humana and Wellcare of Tennessee Medicare Advantage Plans will be discontinued starting April 1 over reimbursement rates.A spokesperson for Humana and Welcare said beckers The plan hopes to reach an agreement with Vanderbilt.
of University of Vermont Health Network Without a new contract, it will leave its network with UnitedHealthcare’s commercial plans on April 1. More than 2,600 employer-sponsored individual members in Vermont and upstate New York are hospitals in the Burlington-based health care system. , facility and doctor coverage.
Anthem Blue Cross Blue Shield Cincinnati-based Christ Hospital may split if the two sides do not reach an agreement by April 1. According to a statement on the Christ Hospital website, the negotiations will affect members of Anthem commercials, Medicare His Advantage and Medicaid.
Empire Blue Cross and Ellis Medicineis based in Schenectady, New York and plans to dissolve on May 1, unless the two companies agree to a new deal.
