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Payer Issues

Cigna discussed acquisition with Centene in '21 | 10 payer exec moves | Next variant could be more transmissible: WHO | Mich. seeks probe of Eli Lilly insulin costs | ACA sign-ups hit record | Payers: HHS gets air ambulance surprise-billing rule right

January 27, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna discussed potential acquisition with Centene in late 2021 Full story 2. Next variant could be more transmissible than omicron, WHO says Full story 3. Pharmacist gets 5-year…

Anthem commercial growth flounders | SSM Health warns of insurance scam | Person shot in NY hospital ED | Mass. system ordered to curb costs | Biden explores Medicare coverage of at-home COVID tests | 113 great healthcare leaders

January 26, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem operating gain hits $7.5B, but commercial growth flounders: 10 things to know Full story 2. Callers pretend to be SSM Health in latest insurance scam Full story…

Change mulls asset sale to aid UnitedHealth deal | BCBS names CISO | Payers fall short on mental health parity: Labor Department | Omicron subvariant found: 8 notes | Anthem, Northside dispute broadens | 27 meds with prices slashed at Mark Cuban's co.

January 25, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Change Healthcare possibly weighing sale of assets ahead of UnitedHealth deal Full story 2. BCBS Association names chief information security officer Full story 3. Labor Department makes mental…

Hospital market power boosts insurance cost: CBO | BCBS of Kansas City hit with antitrust claims | US nearing omicron peak | How 13 payers handle at-home COVID test reimbursement | Does virtual care save money?

January 21, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. How 13 payers are handling at-home COVID-19 test reimbursement Full story 2. US nearing omicron peak, Mayo Clinic model shows Full story 3. Market power of physicians, hospitals…

Optum inks deal with Calif. system | Anthem: 20 things to know | 122 orgs fight single-payer proposal in Calif. | 3 states where omicron is peaking + 6 where delta lingers | Humana to expand senior care clinics to 12 states

January 20, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 122 organizations stand against California single-payer coverage proposal Full story 2. Oscar Health appoints former Everside Health exec as chief legal officer Full story 3. 20 things to…

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UnitedHealth annual revenue tops $287B | Omicron riskier for young people | 32 lawmakers to CMS: Adjust Part B premium | Premera Blue Cross to open member-only clinics | 5 CEO resignations | Aetna expands at-home care network

January 19, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group profits up 12.2%: 13 things to know Full story 2. Free COVID-19 tests hit online ordering snags Full story 3. 32 lawmakers urge CMS not…

Oscar Health reports data breach: 5 details | 20 hospitals tied to most 'unnecessary' care | Bon Secours Mercy Health settles false claims case | 7 payer legal disputes, settlements | UnitedHealth's Dr. Berke: 3 needed steps of a COVID mitigation strategy

January 18, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Oscar Health notifies members of data breach: 5 things to know Full story 2. What we know about omicron symptoms, recovery: A clinical timeline Full story 3. 20…

Payers: Expect messy rollout of at-home COVID test rule | Physicians charged in $100M fraud scheme | Aetna, Trinity hospital ink contract | Cigna: 20 things to know | Fla. won't enforce CMS vaccine rule | ICU bed capacity, by state

January 14, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Aetna, Trinity Health hospital reach agreement after negotiation extension Full story 2. Payers: At-home COVID-19 test coverage will drag reimbursement into 'the olden days' upon rollout Full…

Texas hospital loses Medicare contract | Kaiser, Morgan Health partner | Excellus BCBS names 1st female CIO | 8 hospital layoffs | 5 payers among best companies for remote work | Calif. sues cost-sharing ministry over unauthorized health plan sales

January 13, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Texas hospital loses Medicare contract after regulators report 'substandard' care Full story 2. 10 hospitals seeking payer contracting talent Full story 3. Morgan Health partners with Kaiser: 5…

CMS plans to limit Aduhelm coverage | Healthcare's best places to work | UnitedHealthcare settles underpayment suit for $10M | Centene adds 5th board member | Anthem moves to halt order extending Ga. hospital's contract

January 12, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS unveils preliminary Aduhelm coverage decision Full story 2. UnitedHealthcare settles class-action underpayment suit for $10M Full story 3. Omicron's spread, severity: 2 new findings Full story 4. Demand…

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