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Payer Issues

Optum sees 7th exec exit | CMS releases home care quality measures | The state of MA in 2022 | 14 CEO moves | UnitedHealth forms Wis. ACO | 6 payers adding new C-suite roles | 5 states expanding Medicaid to noncitizens | Empire exits NYC MA plan

July 22, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Optum's chief health officer departs for digital health company Full story 2. UnitedHealthcare launching new ACO in Wisconsin Full story 3. CMS releases 1st home, community-based services quality measure set Full story…

Payers raising rates 10% in 2023 | Q&A: BCBS Minn. CEO Dana Erickson | Amazon inks $3.9B One Medical deal | Elevance to grow post-acute program | AllWays to become Mass General Brigham Health Plan | Health Insurance Innovations, CEO settle SEC fraud case

July 21, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Amazon to acquire One Medical in $3.9B deal Full story 2. Payers will raise rates an average of 10% in 2023 as healthcare usage rises Full story 3. Q&A: BCBS Minnesota…

Elevance Health's 8% Q2 profit dip | JPMorgan invests $30M in Centivo | Optum bets on virtual, home care | AIDS Health Foundation sues Express Scripts | Canopy, Providence take aim at Kaiser | Maine's ACA merger OK'd | 8 recent Centene stories

July 20, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Elevance Health's 8% net income dip in Q2: 7 things to know Full story 2. Optum's bet on virtual care, home health  Full story 3. JPMorgan invests $30M in self-funded…

Calif. OKs Kaiser Medicaid contract | Q&A with PopHealthCare CEO Eric Galvin | OU, BCBS Okla. ink value-based contract | Clover Health expanding MA plans | WVU Med. creating Medicare, Medicaid plans | Humana becomes Pa. ACO partner | 9 MA headlines

July 19, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. California approves Kaiser Permanente's special Medicaid contract Full story 2. Hospitals press CMS to rethink proposed inpatient payment rates Full story 3. OU Health, BCBS Oklahoma ink value-based contract Full story 4. Health…

UnitedHealth's Q2 profit: $5.1B | Empire BCBS to cover multiorgan transplant | Point32Health adds abortion travel benefit | Ill. physician charged in $4M BCBS, Medicare fraud scheme | Central Maine, Anthem ink contract | Molina to buy Wis. Medicaid MCO

July 15, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group's 13% revenue growth in Q2: 11 things to know Full story 2. Empire BCBS will now cover multiorgan transplant for cancer patient following push from Cleveland Clinic. Full…

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Cleveland Clinic asks NY to review BCBS denial | Conviction in $600M fraud scheme | Centene sells Pantherx | Payer veteran joins AI firm | Underwriting earnings down 65% in '21 | Viewpoint: Defending PBMs

July 14, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cleveland Clinic helps family appeal to New York state after Empire BCBS denies multi-organ transplant Full story 2. Federal jury convicts New York man in $600M billing fraud scheme Full…

Northside, Anthem ink contract | Payment for childbirth by state | The nat'l crisis payers can help solve | Fla. seeks bids on $3.1B employee plan | Bind is now Surest | 7 legal actions against payers

July 13, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Northside Hospital, Anthem settle on contract after legal dispute Full story 2. Florida puts $3.1B state employee health plan up for bid Full story 3. Former Elevance CEO joins board of…

How to start a PBM, Mark Cuban style | Burger King poaches Optum exec | Optum, Healthgrades parent form JV | UNC hospital's Medicare contract at risk | 9 payer market moves | Check-up on Highmark, Google's partnership

July 12, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. How to launch a PBM, Mark Cuban style Full story 2. Top Optum tech exec heads to Burger King's C-suite Full story 3. UNC flagship hospital's Medicare contract in jeopardy Full…

FTC wants more info on LHC, UnitedHealth deal | CMS floats physician pay rule: 7 notes | Pharmacies urge FTC to block PBM deal | Biden to issue EO on abortion access | Humana exec joins BrightSpring | 5 newly inked payer-provider contracts

July 8, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. FTC reportedly seeking employee wage information for proposed LHC Group, UnitedHealth deal Full story 2. Biden to take executive action to protect abortion access Full story 3. CMS pitches physician payment…

Alec Baldwin nudges BCBS to cover surgery | Senate Dems push Medicare drug negotiation plan | Magellan names CEO | Why CMS wants to hide hospital safety data | 6 payer office moves | NH expands Medicaid dental with Centene settlement | 8 Cigna stories

July 7, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Alec Baldwin Instagram post spurs Anthem BCBS to cover Virginia teacher's spine surgery Full story 2. Senate Democrats advance plan to give Medicare drug price negotiation powers: 6 notes Full…

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