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Regence BCBS vs Oregon Health & Science University

Network Contract Watch

Regence’s contract with OHSU and its Hillsboro affiliate expires on December 31. Both sides say contract talks are active and ongoing, and in the worst-case scenario, patients will not feel any immediate impacts if the contract ends without a deal.

That is because of protections built into the existing contract prevent Regence members from facing higher bills if they seek care at the hospitals during the 12-month extension.

However, this is worth monitoring and I will be doing so.

Source: Oregon Live/The Oregonian

RESOLVED: Aetna vs Providence Oregon

Network Contract Watch

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

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