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Payer Issues

Single-payer healthcare on the table in Calif. | 5 payer exec moves | WHO not concerned about variant in France | OIG flags coding errors at Healthfirst | Anthem sued over overtime pay | CMS floats Medicare Advantage, Part D rule

January 7, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. California Democrats pitch plan for taxpayer-funded universal healthcare: 7 things to know Full story 2. WHO not concerned about new variant in France Full story 3. 5 recent…

Centene names transformation chief | Physician faces charges over $46M in Medicare billings | 11 short-staffed hospitals halt services | Humana delays office return, mandates boosters | 13 states set COVID hospitalization records

January 6, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene names Magellan exec as chief transformation officer Full story 2. 13 states set COVID-19 hospitalization records this week Full story 3. 7 medical claims expected to increase in…

Medicare funding at Ill., Texas hospitals at risk | UnitedHealthcare: No changes to ER coverage policy | UPMC hit with $250K claims notification penalty | Aetna: 20 things to know | 4 US health plans among world's largest insurers

January 5, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare assures no changes to ER coverage policy in 2022 Full story 2. UPMC hit with $250K claims notification penalty Full story 3. Hospitals in Texas, Illinois face…

Centene buys Magellan for $2.2B | Ex-Aetna CEO to co-lead hedge fund | Court orders Anthem to keep 400,000 hospital patients in-network until Feb. 1 | HHS floats rule for ACA plans | New variant found in France | No Surprises Act is in effect: 9 details

January 4, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. HHS proposal prioritizes ACA plan comparison, health equity: 5 things to know Full story 2. Former Aetna exec named co-CEO of world's largest hedge fund Full story 3.…

10 states COVID may hit hardest by NYE | 20 things to know about UnitedHealth | Lawmakers want Summa Health deemed 'distressed' | Anthem to acquire Medicaid contract | Nonprofit hospitals in these 10 states report lowest expenses | Tenet closes $1.1B deal

December 23, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 20 things to know about UnitedHealth Group  Full story 2. Record-setting 13.6 million people will be covered by ACA plans  Full story 3. 10 states COVID-19 could hit hardest by NYE:…

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8 hospitals flagged for billing errors | 5 recent payer disputes | Omicron no less severe than delta: study | Feds approve Ark. Medicaid expansion overhaul | 20 things to know about Centene | 12 hospital bankruptcies, closures | Booster rates by state

December 22, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 8 hospitals flagged by HHS for billing errors this year  Full story 2. Omicron infections no less severe than delta, early study suggests  Full story  3. 20 things to know…

Biden's plan to fight omicron: 5 details | Payers issued $2B in premium rebates | IU Health freezes prices | 3 insurers penalized for health parity violations | FBI investigates vaccinations at hospital CEO's church | Anthem, Memorial Health ink contract

December 21, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden's plan to fight omicron: 5 things to know  Full story 2. Payers issued $2B in 2020 premium rebates, CMS finds  Full story 3. Nonprofit hospitals in these 10 states report…

Hospital CEO: Virtual plans bring out the worst in healthcare | Calif. physician guilty in $355M billing scheme | States where COVID hospitalizations cost most, least | Oracle nears $30B deal for Cerner | Ore. Health Plan tagged for improper billing

December 17, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Hospital CEO: Virtual plans can accentuate the worst in healthcare  Full story 2. California physician found guilty in $355M billing fraud scheme  Full story 3. States where COVID-19 hospitalizations cost the…

Cigna adds former Citigroup exec | Optum extends $13B merger deadline | 4 most common omicron symptoms | AHA, AMA gain support in battle over surprise-billing rule | CMS vaccine mandate revived in 26 states | Amazon taps health leader

December 16, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna taps former Citigroup exec as head of investor relations  Full story 2. 4 most common symptoms of omicron variant  Full story 3. Optum sets April timeline for $13B Change Healthcare…

79 payer C-suite moves | Texas hospital's Medicare contract in jeopardy | Scripps' EHR automates price markups | Omicron spread: CDC, WHO updates | Meet Centene's incoming board members | 8 called-off hospital deals

December 15, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Texas hospital's Medicare contract in jeopardy over threats to patient safety  Full story 2. 79 C-suite moves from payers during 2021  Full story 3. Scripps' Epic EHR automates supply price markups…

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