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Members of at least one major health insurance plan in the Fresno, California, area have received letters in recent weeks notifying them that the region’s largest hospital system will no longer be in their health-care network when 2023 begins, reports the Fresno Bee. The letters from UnitedHealthCare Inc. have come as that insurer, Anthem Blue Cross & Blue Shield and Cigna Corp. continue 11th-hour negotiations with Community Health System to renew expiring contracts and wrangle over reimbursement rates for commercial insurance plan members says.