Negotiations between Spartanburg Regional Healthcare System and Aetna have stalled as the April 15 deadline approaches.
Spartanburg Regional said they are no longer in negotiations with Aetna due to what they call a “sharp departure from standard Medicare payment practices.”
Source: WSPA
Upstate residents with Aetna health insurance may find their care at Spartanburg Regional Health System out of network.
An Aetna spokesperson confirmed the insurance company is currently in negotiations with Spartanburg Regional. The two sides have not yet reached a new agreement.
Spartanburg Regional Health System will become out of network for Aetna commercial and Medicare Advantage health plans if a deal is not reached by April 16, according to the spokesperson.
The insurance company said, “We continue to negotiate with Spartanburg Health System (including Regional Health Plus) in good faith with the goal of reaching a fair agreement that keeps them in our network.”
Spartanburg Regional Medical System issued the following statement:
Aetna’s latest Medicare proposal implemented a significant policy change in their Medicare agreement that deviates from long-standing practices, making it impossible for us to accept the current terms. Although we’ve made progress on the commercial contract, Aetna is now linking both agreements; if we don’t sign the revised Medicare contract, both our Medicare and commercial agreements will expire on April 15th.
Sources: Fox Carolina, WSPA
After months of negotiations, UConn Health and insurance provider Aetna have reached a multiyear agreement to provide in-network access for people using UConn Health’s physicians, hospitals and clinics, officials say.
In a statement on Wednesday, UConn Health said the new agreement that restores full, in-network access to UConn Health’s services for individuals covered by Aetna plans. The agreement is effective March 1, and Aetna members can schedule appointments to receive care across UConn Health’s system with in-network coverage.
There were no details immediately available about claims for services received between December 1, 2025, when the previous contract expired, and February 28. However, I will monitor for any announcements.
Source: CT Insider via Yahoo!News
Some relief for patients of UConn Health — an arm of the University of Connecticut — with Aetna coverage may soon be on the way. The existing contract expired November 30.
State Comptroller Sean Scanlon said late last week that the negotiations between UConn Health and Aetna now appear to be on the “one-yard line.”
At issue in the contract negotiations are the reimbursement rates for services that Aetna pays to UConn Health, a network of clinics and more than 700 providers. Early on in the contract talks, both Aetna and UConn Health lobbed public accusations that each other was not presenting reasonable proposals. UConn Health said its reimbursement rate was among the lowest for hospitals in Connecticut.
Both parties now appear to have moderated their rhetorical tone.
Source: Hartford Courant
BJC Health has reached an agreement with Aetna on all key terms for a new, multi-year agreement for commercial, or group, plans and a one-year agreement for its Medicare Advantage (MA) plans. This agreement ensures BJC HealthCare and Saint Luke’s entities, including hospitals and physician and provider practices, remain in-network.
As a result of these negotiations, there will be no lapse in BJC’s network participation or in-network benefits for Aetna members.
Source: BJC Health
As part of a multi-year agreement, Providence Health & Services recently announced that its facilities in Portland and around the state were back in-network as of Dec. 1 for members of Aetna’s commercial plans.
This comes nearly a year after Aetna, a large health insurer owned by industry behemoth CVS Health, dropped Providence Oregon from its network when negotiations broke down.
The deal will take different forms in different parts of the state. Providence facilities will be in-network for Aetna’s commercial plans throughout the state. But only in Southern Oregon will Aetna’s Medicare Advantage have in-network access to Providence facilities.
Source: Willamette Week
More than 15,000 Connecticut customers with Aetna health plans face uncertainty this week after the insurer and UConn Health saw their contract end without an agreement.
Both sides ramped up their rhetoric on Tuesday after the Nov. 30 contract deadline expired without a deal, making UConn Health doctors and Farmington’s John Dempsey Hospital “out of network” for those with Aetna policies.
Although insurer-hospital disputes have ramped up and become more visible this year in Connecticut, the UConn Health-Aetna tussle is the first in the state to extend more than a few hours past the final contract deadline. However, with financial pressures mounting on hospital systems, more contract disputes like Aetna vs. UConn Health are likely to emerge this month.
“The insurance carriers are saying we’re trying to save the patients money, and the providers are saying we’re trying to provide the best care that we can,” a healthcare advocate said. “So not that anybody is completely wrong in this process, but it does leave the patients to be in a very difficult position.”
Source: CT Post
Spokespeople for both Aetna and BJC Health have reported that the two sides have agreed on “key terms” and “are working to finalize documentation for an uninterrupted contract renewal effective January 1, 2026, for Aetna’s commercial and Medicare Advantage plans.”
This does not mean the situation is resolved, so members should continue to monitor. However, it does point to a strong possibility of resolution without any interruption in network status.
Members will be notified once agreements are finalized.
Source: St. Louis Post-Dispatch via InsuranceNewsNet
BJC Health and health insurer Aetna have yet to reach coverage agreements for the upcoming year, leaving St. Louis-area patients in limbo.
Without a new agreement, BJC Health will be out of Aetna’s coverage network employer-sponsored commercial plans beginning on January 1.
The ongoing talks affect patients in BJC’s eastern region, as well as BJC’s facilities in western Missouri operating as St. Luke’s Health System. That system is not connected to St. Luke’s Hospital in the St. Louis area.
Source: St. Louis Post-Dispatch via InsuranceNewsNet
More than 400 doctors are quitting Aetna U.S. Healthcare in Dallas. The move by members of the Genesis Physicians Practice Assn. has the potential of displacing some 30,000 patients enrolled in Aetna U.S. Healthcare plans in the Dallas area.
Source: Business Insurance