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Payer Issues

Anthem backlash on TikTok grows louder | Largest exchange payers in every state | States ask CMS to scrap vaccine rule | Pharma giants ditch Twitter | Mark Cuban Cost Plus Drugs nears 1k generics | 5 startups payers are investing in

November 22, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'Lack of empathy is an institutional problem': Patient who appealed $40K bill criticizes Anthem in 2nd viral TikTok Full story 2. The largest payer on every state ACA exchange Full story…

DOJ to appeal ruling on UnitedHealth-Change deal | MA audits reveal overbilled members | Biden: ACA enrollment up 40% | Walmart loses top health exec | No Surprises Act protects 9M patients | 20 payer CEO moves | 11 Elevance Health headlines

November 21, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. DOJ to appeal ruling that cleared UnitedHealth-Change merger Full story 2. Newly released Medicare Advantage audits show plans overbilled patients upwards of $1K annually Full story 3. No Surprises Act protected…

Mark Cuban's next healthcare goals | Centene selling Magellan Specialty Health | UnitedHealth, WakeMed ink contract | Which hospitals got F's from Leapfrog | Security Health Plan nabs Johns Hopkins exec | Payers ranked by MA transportation benefits

November 18, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene selling Magellan Specialty Health in $750M deal Full story 2. Mark Cuban's next goals: Enter brand-name drugs market, accept insurance Full story 3. UnitedHealthcare, WakeMed reach network agreement Full story 4. Change…

Optum hiring laid-off tech talent | Medicaid confusion as payers prep for end of PHE | Cleveland Clinic to bill for MyChart messages | Is Epic's dominance good for healthcare? | Leapfrog's straight-'A' hospitals

November 17, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. As Silicon Valley stalls, Optum sees opportunity for talent Full story 2. Payers are prepping for a PHE wind down, but most Medicaid beneficiaries don't know coverage will end Full…

Anthem scraps $40K bill after patient's TikTok | Providence losses top $1B in 2022 | Counties with most MA plans | 6 payer execs headed to startups | Senate Dems want more MA rules | BCBS Ill. faces class action over denied transgender care

November 16, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem Blue Cross reverses $40K bill after patient appeals on TikTok Full story 2. Providence's operating loss grows to $1.1B for 2022 Full story 3. The 27 counties with the most…

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Payer-provider fights get messier | Amazon Clinic debuts | 19 payer exec moves | Record number of MA plans available in 2023 | Aetna's govt. business CFO departs | Google partners with Highmark, Mayo on data projects | 6 recent M&A deals

November 15, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'It's like a shakedown': Payers, providers ditch the hushed voices in their fights Full story 2. Record number of Medicare Advantage plans available for 2023 Full story 3. Amazon Clinic makes…

HHS to extend COVID PHE past Jan. | Eli Lilly loses billions after fake insulin tweet | 6 recent UnitedHealth M&A deals | CVS strategy chief departs | Aetna, Crossover Health launch value-based primary care pilot | 10 health systems with strong finances

November 14, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. HHS to maintain COVID-19 public health emergency past January Full story 2. Eli Lilly loses billions after fake Twitter account promotes free insulin Full story 3. 6 major UnitedHealth Group deals…

8 prior authorization updates | Aetna, Lehigh Valley Health to cut ties | DeSantis taps Broward CEO for transition | Amazon Pharmacy nabs payer contracts | Why BCBS Tenn. ranks among best places to work | 9 payer virtual care moves

November 11, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 8 updates on prior authorization Full story 2. Amazon Pharmacy is scooping up payer contracts Full story 3. UnitedHealthcare names SVP of communications, government programs Full story 4. Healthcare fraud costs the nation…

Bright Health preps for layoffs | Leaked Amazon video shows new telehealth service | Elevance to buy BioPlus specialty pharmacy | Cigna invests in VillageMD-Summit deal | Oscar posts $194M Q3 loss | Humana execs are ditching Louisville

November 10, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Why Cigna invested in VillageMD's Summit Health acquisition Full story 2. Leaked Amazon video shows new telehealth offering Full story 3. Elevance Health to acquire specialty pharmacy BioPlus Full story 4. Price transparency…

Payers ranked by Q3 profits | UnitedHealth could close on LHC deal in Dec. | SD to expand Medicaid | NC hospital's Medicare contract again at risk | Largest MA payers by state | Q&A: Elevance's 1st health equity chief

November 9, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Big payers ranked by Q3 profits Full story 2. UnitedHealth Group acquisition of LHC Group may close in December: report Full story 3. South Dakota voters expand Medicaid Full story 4. Go beyond…

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