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Aetna vs UConn Health

Network Contract Watch

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

Aetna vs BJC Health

Network Contract Watch

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

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

BCBS of Minnesota vs Aspirus St Luke

Network Contract Watch

The current contract between Aspirus St. Luke’s Health and Blue Cross and Blue Shield of Minnesota is still set to expire on December 31, 2025.

Patients with Blue Cross plans who use Aspirus St. Luke’s providers are advised to closely follow the negotiations. They are also advised to prepare contingency plans by understanding their out-of-network benefits and researching alternative providers in the event of a brief lapse.

Aspirus has publicly stated that it is seeking contract terms that reflect current care costs and allow it to invest in maintaining its services and technology in the region. Blue Cross generally expresses the need to control rising healthcare costs for its members.

Source: North Shore Journal

Aetna vs BJC Health

Network Contract Watch

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

UnitedHealthcare vs MyMichigan Health

Network Contract Watch

UnitedHealthcare is reporting that their contract with MyMichigan Health (University of Michigan Health) is scheduled to expire on December 31, 2025. It is unclear whether this is related to MyMichigan’s recent decision to consolidate its healthcare network contracts through MCCO, but as of this date, MyMichigan is continuing to report that they are in-network with UnitedHealthcare for 2026.

I will be monitoring.

BCBS of Kansas vs KU Health System St. Francis

Network Contract Watch

Insurance provider Blue Cross and Blue Shield of Kansas (BCBSKS) and the University of Kansas Health System St. Francis Campus in Topeka are struggling to reach an agreement this year. If they can’t reach a suitable arrangement by the end of this year, the hospital said it will no longer be in-network with BCBSKS on January 1, 2026.

This change affects all St. Francis Campus facilities and their employed providers. It does not affect Healthy Blue Medicaid or Healthy Blue Medicare plans.

Sources: KSNT, University of Kansas Health System St. Francis Campus