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UnitedHealthcare vs Lehigh Valley Health Network

Network Contract Watch

Lehigh Valley Health Network (LVHN) and UnitedHealthcare are running out of time to work out their differences.

LVHN announced last fall that it would terminate its contract with the insurance giant this month unless the two could reach an agreement on the terms moving forward. January 26 was the day given that Medicare Advantage patients covered by UnitedHealthcare would no longer be able to receive in-network care with LVHN providers; commercial contracts would end beginning April 26.

It doesn’t seem like much has changed since the impasse was first made public.

LVHN, which is part of Jefferson Health, maintains that, since 2021, UnitedHealthcare has reduced its reimbursements by nearly 40 percent without agreement. The insurance company flat out denies that, and claims LVHN is the problem because it’s demanding a more than 20 percent price hike in the first year of the contract.

Source: WFMZ 69 News

UnitedHealthcare vs Corewell Health

Network Contract Watch

As of January 1, Corewell hospitals in the southeast Michigan cities of Dearborn, Taylor, Wayne and Trenton are no longer in-network for UHC employer-sponsored commercial plans and Individual Family Plans. Corewell officials say if the situation isn’t resolved, additional facilities in Michigan will be out-of-network for many plans, potentially affecting about 125,000 patients across the state.

Source: Bridge Michigan

Cigna vs Lexington Health

Network Contract Watch

It appears that the negotiations between Lexington Health and Cigna have broken down, at least for the moment. The breakdown at this late date suggests that Lexington Health very likely will exit the Cigna network as of January 1, 2026.

Lexington Health is telling all patients to contact Cigna directly for more information. Continuity of care and emergency room access policies will apply.

Both Cigna and Lexington Health said they’re still open to negotiating an agreement, but their respective statements strongly suggest they’re not doing so right now.

Source: WIS

BCBS of Texas vs Southwestern Health Resources

Network Contract Watch

As a reminder: Southwestern Health Resources, which includes UT Southwestern and Texas Health Resources, will leave the Blue Advantage HMO network after December 31, 2025, as part of new contract negotiations the parties finalized earlier this year.

The parties came to an agreement on new contracts in April after the previous contracts had lapsed for a few days amid negotiations.

Southwestern Health Resources remains in the following networks, according to the Blue Cross Blue Shield of Texas website: ParPlan, Blue Choice PPO, Blue Essentials, MyBlue Health, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage and Medicaid.

Source: WFAA

UnitedHealthcare vs Corewell Health

Network Contract Watch

UnitedHealthcare is currently in active negotiations with both Bronson Healthcare and Corewell Health. While Bronson’s agreement with UnitedHealthcare was extended through February, Corewell’s agreement with UnitedHealthcare has not been extended.

If Corewell and UnitedHealthcare aren’t able to reach an agreement, Corewell will be out of network for people enrolled in employer-sponsored commercial and individual exchange plans.

Source: WZZM

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

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

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

UnitedHealthcare vs Corewell Health

Network Contract Watch

The Detroit Free Press is reporting that the end of the network contract between UnitedHealthcare and Corewell Health would affect more than 100,000 patients. Although the majority of the article is paywalled, a Google search indicated that Corwell’s contracts with UnitedHealthcare are scheduled to expire as follows:

  • January 1, 2026: Corewell Health Dearborn Hospital, Corewell Health Taylor Hospital, Corewell Health Trenton Hospital, Corewell Health Wayne Hospital
  • May 1, 2026: Botsford General Hospital providers
  • July 1, 2026: Corewell Health William Beaumont University Hospital, Corewell Health Troy Hospital, Corewell Health Grosse Point Hospital
  • August 1, 2026: Corewell Health Farmington Hills Hospital, Oakwood Healthcare providers
  • September 15, 2026: William Beaumont Hospital providers

Source: UnitedHealthcare