Third-Party Payer Contracting

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