Methodist Health Partners (MHP) contracting services include reviewing initial contracts terms and negotiating renewal contract terms. Each physician is given the opportunity to accept, reject, or counter-offer contract and reimbursement terms.
MHP is committed to assisting our providers succeed in value-based contracting by aligning payer reimbursement and incentives to the delivery of high quality, evidence-based medicine to our patients. MHP supports a data driven approach to population health by facilitating and deploying internal resources, payer reporting and the expertise of our ACO partner Nebraska Health Network.
Methodist Health Partners has contracted with the following payers to provide services to its members, employees, or insured:
Commercial
Aetna
Aetna NHN
Aetna Signature Administrators
Aetna Behavioral Health
First Health
Meritain
Work Comp
Medicare Advantage
Aetna Medicare Eagle (HMO)
Aetna Medicare Premier (HMO)
Aetna Medicare Premier (PPO)
Aetna Medicare SmartFit (HMO)
Aetna Medicare SmartFit (PPO)
Aetna Medicare Value Plus (HMO)
Aetna Medicare Assure Premier (HMO D- SNP)
Alliance Narrow Network
Commercial Marketplace
IA Medicaid
Wellpoint Medicare Advantage D-SNP
Commercial
NEtwork Blue
Select Blue Choice
Premier Select Blue Choice
Commercial Marketplace
NEtwork Blue Heartland Blue
Premier Select Blue Choice Heartland Blue
Medicare Advantage
Medicare Advantage Core (HMO)
Medicare Advantage Connect (PPO)
Medicare Advantage Access (PPO)
Medicare Advantage Secure (PPO)
Commercial PPO
Narrow Network
Medicare Advantage
Humana Gold Plus SNP-DE (HMO D-SNP)
Humana Gold Plus (HMO)
HumanaChoice (PPO)
Humana USAA Honor Giveback (PPO)
HumanaChoice Giveback (PPO)
Humana Full Access (PPO)
Commercial PPO
Work Comp
IA Medicaid
Does not include behavioral health.
Commercial/Marketplace
Insure (broad network)
Elevate (narrow network)
Medica Choice National (broad PPO network)
Medicare
Medica Advantage Solution (MA)
Medica Prime Solution (Medicare Cost)
Commercial PPO
IA Medicaid
Medicare Advantage
NE Medicaid
Medicare Advantage
Does not include PHCS.
Complementary Product
Commercial PPO
NE Medicaid
Commercial PPO
Work Comp
Does not include behavioral health.
Commercial
UHC
Nexus ACO
Core
UMR
Allsavers
Surest
Commercial Marketplace
NE Individual Exchange Benefit Plan
Medicare Advantage
AARP MA Essentials from UHC NE-3 (HMO)
AARP MA Extras from UHC NE-5 (HMO)
AARP MA from UHC NE-0002 (PPO)
AARP MA Patriot No Rx NE-MA01 (PPO)
UHC Group MA (HMO)
UHC Group MA (PPO)
UHC Special Needs Plan
Dual Complete NE-S001 (HMO D-SNP)
Dual Complete NE-S002 (PPO D-SNP)
Dual Complete NE-S003 (HMO D-SNP)
Dual Complete NE-V001 (HMO D-SNP)
NE Medicaid
Community Plan
Veterans Administration
Medicare Advantage
Commercial
PPO (Blue Card Program)
Classic Blue
Alliance Select
Wellmark Blue (PPO)
HMO (IA Providers only)
Blue Access
Blue Choice
Blue Advantage
Wellmark Blue (HMO)
IA Hawk-i
Medicare Advantage
Blue MA (HMO)
Blue MA (PPO)
Blue MA Enhanced (PPO)
Blue MA Avera (PPO)
