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Payer Issues

FTC cracks down on PBM rebates | Centene ditching 65% of its real estate | HCA, Steward scrap deal | CVS Health's new strategy exec | Report: Single-payer would have saved thousands of lives, billions of dollars during COVID| Cigna's $3.5B stock buyback

June 17, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. FTC warns PBMs about unlawful drug rebate practices through new enforcement policy Full story 2. Centene to reduce real estate footprint by 65% Full story 3. HCA, Steward make for 2nd…

Soon-to-be renamed Anthem launches more brands | Best, worst states for healthcare amid COVID | 340B pay cut overturned | Vision plans ranked by customer satisfaction | HDHPs linked to delayed cancer detection

June 16, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem launches 2 new subsidiaries under Elevance Health Full story 2. The best and worst states for healthcare during COVID-19 Full story 3. US Supreme Court overturns $1.6B 340B payment cut Full…

FTC investigates Cerebral | NJ systems scrap merger | UPMC building $1.5B hospital | CMS weighs Medicaid nursing home change | Study: Payers struggle with digital | Lawsuit seeks coverage of marijuana as behavioral drug | 5 recent payer collabs

June 15, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. FTC investigating Cerebral as payers cut ties Full story 2. CMS considering requirement for Medicaid to primarily fund direct care in nursing homes Full story 3. UPMC breaks ground on $1.5B…

FTC wants more info on Optum-LHC Group deal | 10 hospital exec resignations | Centene settles NM Medicaid probe | OU Health, UnitedHealth cut ties | Optum drops Cerebral | Anthem BCBS Va. president retiring | Hospitals lose Medicare legal challenge

June 14, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. FTC requests more info, extends waiting period for proposed Optum acquisition of LHC Group Full story 2. Centene to pay $13.7M to settle New Mexico pricing investigation Full story 3. Optum…

Why Centene bought a Ritz hotel | Larry Ellison wants a nat'l database via Cerner | Blue Cross Calif. fined $1.1M | Hospitals are failing at cost-cutting | Payers back value-based startup | UnitedHealth names regional CEO | Avg. Medicare spending by age

June 10, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Why Centene quietly bought the St. Louis Ritz-Carlton Full story 2. Larry Ellison wants a national healthcare database with Cerner Full story 3. Blue Cross of California fined $1.1M, will reimburse…

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Optum's top engineer leaves for startup | CMS starts fining hospitals for unposted prices | Are virtual-first health plans sustainable? | Aetna drops Cerebral | UnitedHealth invests $100M in health equity | CMS: cutting agent commission violates ACA

June 9, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Atlanta system 1st in US to face CMS fines for price transparency violations Full story 2. United Health Foundation investing $100M to create more diverse healthcare workforce Full story 3. Optum's…

FTC to probe PBMs | Viewpoint: HSAs, HDHPs are useless | Providence Health Plan names COO | AHIP requests family glitch fix guidance | 10 hospital CEO moves | Status of 8 No Surprises Act lawsuits | Fla. payer alleges tribal policy scheme

June 8, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. FTC to probe PBM industry practices Full story 2. 10 recent hospital, health system CEO moves Full story 3. AHIP supports ACA 'family glitch' fix, asks for more guidance Full story 4. The…

Recession-proofing in heyday of HDHPs | DOJ cracks down on MA plans | 16 execs at top of UnitedHealth | Prisma tech dead, patient charged | Family complaint changes Cigna formula coverage | No transgender policy exclusions, court rules

June 7, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Justice Department cracking down on fraudulent Medicare Advantage coding, billing Full story 2. Prisma Health employee dead after patient altercation Full story 3. Federal court rules employers cannot deny transgender health…

Medicare hospital fund to run dry in 6 years | BCBS Minn. taps CFO, COO | Tulsa gunman targeted surgeon he blamed for pain | FTC sues to block 2 hospital deals | Payers planned $1B in premium rebates

June 3, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Medicare hospital trust fund projected to fall short by 2028 Full story 2. Tulsa gunman targeted surgeon he blamed for pain Full story 3. Commercial payers expected to pay $1B this…

7 dead in hospital campus shootings | Insurers shun weight-loss drugs | BCBS exec leaves for startup | U of Iowa Health ups rates 6% | Hospital seeks $6M in damages from Aetna | A new managed care experiment in Calif.

June 2, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 5 dead in Oklahoma hospital campus shooting Full story 2. 2 dead after shooting at Ohio hospital Full story 3. As some Maine providers drop Anthem, others join Full story 4. Improve…

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