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Third-Party Payer Contracting
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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.
Contracted Payers
Methodist Health Partners has contracted with the following payers to provide services to its members, employees, or insured:
AETNA
- Commercial
- Aetna
- Aetna HPN NHN
- Aetna Signature Administrators
- Aetna Behavioral Health
- First Health
- Meritain
- Work Comp
- Medicare Advantage
- Aetna Medicare Elite (PPO)
- Aetna Medicare Premier (HMO)
- Aetna Medicare Premier (PPO)
AMERIGROUP
- IA Medicaid
BCBSNE
- Commercial
- NEtwork Blue
- Select Blue Choice
- Premier Select Blue Choice
- Medicare Advantage
- MA Core (HMO)
- MA Choice (HMO-POS)
- MA Access (PPO)
BRIGHT HEALTH
- Commercial Marketplace
- Medicare Advantage
CONSOCIATE HEALTH
- Commercial PPO
ELITE CHOICE
- Commercial PPO
- Narrow Network
HEALTHY BLUE
- NE Medicaid
HUMANA
- Commercial
- Choice Care
- Medicare Advantage
- Humana Gold Plus (HMO)
- Humana Choice (PPO)
- Humana Honor (PPO)
HEALTHSMART
- Commercial PPO
- Work Comp
IOWA TOTAL CARE
- IA Medicaid
MEDICA
- Commercial/Marketplace
- Insure (broad network)
- Elevate (narrow network)
MIDLANDS CHOICE
- Commercial PPO
MULTI PLAN
- Commercial PPO
NE FURNITURE MART/CENTIVO
- Commercial PPO
NE TOTAL CARE
- NE Medicaid
NX HEALTH DBA VALENZ ACCESS
- Commercial PPO
O’HARA WORKERS COMP
- Work Comp
UNITED HEALTHCARE
- Commercial
- UHC
- Nexus ACO
- UMR
- John Deere
- (does NOT include JD Premier)
- Allsavers
- Medicare Advantage
- AARP MA HMO-POS
- AARP MA Choice PPO
- AARP MA Patriot PPO
- UHC Special Needs Plan
- Dual Complete
- NE Medicaid
- Community Plan
UHC OPTUM VA CCN
- Veterans Administration
WELLMARK
- 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