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Payer Issues

Centene CEO to retire | Man charged in $38M UnitedHealth, BCBS false claims scheme | HHS sends $9B to providers | TeamHealth CEO discusses payment litigation | Vt. mandates at-home COVID test coverage | US medical debt: 11 numbers to know

December 14, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene CEO to retire amid board overhaul  Full story 2. Florida man charged in $38M UnitedHealth, BCBS false claims scheme  Full story 3. 46 top hospitals, ranked by Leapfrog  Full story 4. Healthcare…

5 payers tagged for coding, reimbursement errors | 6 states set COVID records | Anthem JV launches virtual primary care nationwide | Hospitals sue feds over surprising-billing rule | Senate votes to avert Medicare cuts | 8 top children's hospitals

December 10, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem joint venture launches virtual primary care nationwide  Full story 2. 5 payers tagged by OIG for coding, reimbursement errors in 2021  Full story 3. 6 states set COVID-19 records this…

CMS delays payer data exchange requirements | 9 hospitals laying off workers | Oscar adds 1,300 providers to network | The healthiest, unhealthiest states | CareSource, TrueCare forge alliance | How much hospitals charge for COVID vaccines in each state

December 9, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS delays payer data exchange rule enforcement  Full story 2. 9 hospitals laying off workers  Full story 3. Oscar Health adds over 1,300 Temple Health providers to network  Full story 4.…

Cigna names digital chief | Jury: UnitedHealth owes TeamHealth $60M | 72 top teaching hospitals | Mo., Okla. see split results after expanding Medicaid | Ill. hospital CEO uncovers potential misappropriation of funds | House votes to avert Medicare cuts

December 8, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna names chief digital officer  Full story 2. Jury awards TeamHealth $60M in punitive damages from UnitedHealth  Full story 3. Illinois hospital CEO uncovers potential misappropriation of funds by former executive  Full…

Centene pays $27.6M to settle drug overbilling claims | Payers fear COVID test price gouging | Humana Foundation names CEO | Calif. hospital plans 677 layoffs | 5 states set COVID records | Trinity doubles operating income on health plan sale

December 7, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene to pay Kansas $27.6M to settle drug overbilling allegations  Full story  2. California hospital plans for 677 layoffs  Full story 3. Humana Foundation names CEO  Full story 4. 2021…

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UnitedHealthcare, Optum to step up collaboration | 2 top Humana execs get new roles | 73 hospital closures, state by state | Hospitals fail to stop Medicare cuts | BCBS of Mass. commits $25M to address health disparities

December 3, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group prioritizes marrying health insurance, Optum offerings  Full story 2. State-by-state breakdown of 73 hospital closures  Full story 3. Daily COVID-19 cases at 2021 high in Wisconsin, Illinois  Full story 4. Healthcare…

Biden plan requires insurers to pay for at-home COVID tests | Texas hospital inks $18.2M false claims settlement | Cigna, HCA expand partnership | NY systems make 4 C-suite changes | AMA: Allowing Medicare cuts would be 'reckless'

December 2, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden plan requires payers to reimburse over-the-counter COVID-19 tests  Full story 2. Texas hospital will pay $18.2M to settle false claims case  Full story  3. Cigna broadens Florida reach with…

The worst COVID hot spot in the US | Payers respond to rising mental health concerns | 9 health systems with strong finances | CMS vaccine rule blocked nationwide | HCA hospital keeps Medicare contract after corrections | Point32Health names 2 execs

December 1, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. This state just passed Michigan as having most COVID-19 cases per capita  Full story 2. UnitedHealthcare owes Florida providers $4.7M, arbitrators say  Full story 3. 9 health systems with strong finances  Full…

Medicare payment rule baffles Supreme Court | UnitedHealth names CMO, expects at least $317B in revenue next year | Healthcare worker vaccine rule blocked in 10 states | Independence Blue Cross, Penn Med expand contract | HCA to add 3 hospitals

November 30, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Supreme Court justices baffled by Medicare payment rule  Full story 2. UnitedHealth Group names new CMO  Full story 3. UnitedHealth Group announces optimistic year end, 2022 outlook  Full story 4. Healthcare organizations…

Higher penalties won't sway all hospitals to post prices | 20 states with most, least expensive premiums | Ex-Calif. hospital execs must face charges | Oscar, Stride Health partner | Viewpoint: Don't demonize healthcare execs over profits

November 26, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Former California hospital executives must face criminal charges, judge rules  Full story 2. 20 states with most, least expensive 2022 monthly average premiums  Full story 3. Higher penalties for undisclosed prices…

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