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Regence BlueShield vs Kootenai Health

Network Contract Watch

A North Idaho hospital and a major Idaho health insurer are struggling to renegotiate a contract to keep the hospital in network.

Kootenai Health and Regence BlueShield of Idaho are “at an impasse” to renegotiate the provider care contract, state officials recently said.

If a deal isn’t struck by Jan. 1, the Coeur d’Alene hospital could become out-of-network for Regence, which runs the health insurance plan for state government employees and several other plans. The contract ending could raise health care costs at the hospital for around 11,000 Idahoans.

Both Regence BlueShield and Kootenai Health have issued statements about the issue.

Source: Idaho Capital Sun

UnitedHealthcare vs WakeMed

Network Contract Watch

UnitedHealthcare officials have announced that WakeMed has left their network as of November 15.

The negotiation will not impact primary care physicians employed by WakeMed, who will remain in network, officials said. People enrolled in Medicaid plans will continue to have network access to WakeMed’s hospitals and providers

Both WakeMed and UnitedHealthcare are announcing that they remain at the negotiating table.

Source: WRAL

RESOLVED: UnitedHealthcare vs NEA Baptist Memorial Hospital

Network Contract Watch

NEA Baptist and UnitedHealthcare have reached an agreement that allows NEA Baptist to remain an in-network health care provider for more than 30,000 community members with UnitedHealthcare insurance in Northeast Arkansas.

This agreement applies to employer-sponsored and Medicare Advantage UnitedHealthcare insurance plans and is effective immediately.

The agreement will not result in changes to patients’ coverage and will not result in any new costs or barriers. Ongoing care and scheduled procedures will not be disrupted.

Source: Jonesboro Right Now

UnitedHealthcare vs USA Health Providence Hospital

Network Contract Watch

UnitedHealthcare members no longer have in-network coverage for services at Mobile’s Providence Hospital, as the contract expired on November 15. The break comes after months of negotiations, according to the hospital, and patients may face higher out-of-pocket costs as a result.

USA Health System, the parent of Providence Hospital, has created an informational microsite for affected patients. It contains information about continuity of care and next steps.

Source: AL.com

RESOLVED: PacificSource vs St Charles Health System

Network Contract Watch

St. Charles Health System has announced an agreement with PacificSource, allowing thousands of patients on both the commercial and Medicare Advantage plans to remain in-network for St. Charles hospitals and clinics.

The agreements reached are for one year for the Medicare Advantage contract and two years for the commercial contract.

Source: St. Charles Health System

RESOLVED: United Medical Resources vs Carson Tahoe Health

Network Contract Watch

Carson Tahoe Health (CTH) and the Nevada Health Authority (NVHA) are pleased to announce their collaborative efforts have resulted in an extension of CTH’S contractual agreement with United Medical Resources (UMR), the state’s health insurance provider.

As a result of the agreement, State of Nevada employees will remain in-network with all Carson Tahoe Health services. The agreement will extend through June 30, 2027.

Source: Carson Tahoe Health