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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: 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

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: 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