Search Results

Anthem vs Mount Sinai

Network Contract Watch

Negotiations between Mount Sinai Health System and Anthem Blue Cross Blue Shield failed, resulting in thousands of patients in New York losing in-network care.

Anthem officials said in a statement that the sides reached an agreement and a contract was ready to go. At the last minute, Mount Sinai refused to move forward. Mount Sinai stated that Anthem refused to commit to contract provisions designed to protect patients from excessive denials, delayed determinations, and prolonged administrative disputes.

Both parties have indicated they are willing to continue negotiations.

Source: CBS News

Anthem vs Community Hospital of the Monterey Peninsula (CHOMP)

Network Contract Watch

Customers on commercial and employer-sponsored plans by Anthem will lose network access to the Community Hospital of the Monterey Peninsula (CHOMP) on February 1, 2026, if an agreement cannot be reached with parent company Montage Health.

The action would not impact Medicare patients. Anthem members would also still have access to Montage providers outside of the hospital. Only CHOMP would be out-of-network.

Source: Monterey County Now

Anthem vs Mount Sinai

Network Contract Watch

The provider contract between Anthem and Mount Sinai for Medicare Advantage plans is terminating on December 31, 2025. The parties remain in negotiation for all other types of plans offered by Anthem, including employer-sponsored group plans. If no agreement is reached, they will also go out-of-network on December 31, 2025.

Per provisions in New York law, if the contract lapses, then physicians and providers go out of network immediately. However, there is a 60-day “cooling off” period for hospitals, meaning that the hospitals themselves would remain in-network through February 28, 2026.

Both Mount Sinai and Anthem have published informational sites for affected patients.

Sources: Anthem, Mount Sinai

RESOLVED: Anthem BCBS vs Northern Light Health

Network Contract Watch

Northern Light Health and Anthem Blue Cross and Blue Shield in Maine have established a multi-year agreement to extend coverage for members.

The arrangement keeps Anthem members in network with all Northern Light Health hospitals, clinics and providers. The contract will be retroactive, allowing members to be considered in network for care after the Nov. 1 deadline for negotiations.

Source: Becker’s Payer Issues

Anthem BCBS vs Northern Light Health

Network Contract Watch

The contract extension between Northern Light Health and Anthem BCBS expired on Friday, October 31, 2025. Both parties have issued statements about the situation:

Sources: Bangor Daily News, WGME

Anthem BCBS vs Northern Light Health

Network Contract Watch

Northern Light Health and Anthem Blue Cross and Blue Shield have agreed to extend their current contract by 30 days while both parties negotiate a new deal.

Under the extension agreement, Northern Light medical providers will remain in-network for people with Anthem health insurance plans through October 31. Northern Light hospital services will remain in-network for Anthem patients through December 31.

Source: WGME