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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.
Methodist Health Partners has contracted with the following payers to provide services to its members, employees, or insured:
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)
Alliance Narrow Network
Commercial Marketplace
IA Medicaid
Commercial
NEtwork Blue
Select Blue Choice
Premier Select Blue Choice
Medicare Advantage
MA Core (HMO)
MA Choice (HMO-POS)
MA Access (PPO)
Commercial Marketplace
Commercial PPO
Commercial PPO
Narrow Network
Commercial
Alliance narrow network
NE Medicaid
Commercial
Choice Care
Medicare Advantage
Humana Gold Plus (HMO)
Humana Choice (PPO)
Humana Honor (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
Includes Cigna
Includes Oscar
Commercial PPO
Commercial PPO
NE Medicaid
Commercial PPO
Work Comp
Commercial Marketplace
Does not include behavioral health
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
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
