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Payer Issues

Cigna inks $5.7B divestiture deal | Humana hires CMO for primary care business | Former healthcare exec sentenced for $59M fraud | CMS releases Medicare Advantage star ratings: 8 notes | BCBS of Tenn. fires unvaccinated workers

October 8, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Humana's Primary Care Organization names CMO  Full story 2. Cigna, Chubb sign $5.75B deal for insurance businesses in 7 countries  Full story 3. Ex-president of healthcare management firm sentenced in $59M…

Optum teams up with SSM | Ex-UnitedHealth leader lands role at Walmart | 15 wealthiest people in healthcare | 11 hospitals hit with credit downgrades | Teladoc rolls out virtual care service for payers | 10 most trusted system brands

October 7, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Optum, SSM Health announce broad collaboration targeting care, affordability  Full story 2. Walmart taps former UnitedHealth leader as new health, wellness exec  Full story 3. Anthem sued for alleged air ambulance…

Anthem shakes up leadership | UnitedHealth to require COVID-19 vaccinations | NY suspends prior auths | Suspect in Pa. hospital shooting charged with murder | Kaiser puts 2,200 workers on leave | CMS overpaid $636M for neurostimulator surgeries: OIG

October 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem shakes up leadership team  Full story 2. UnitedHealth Group issues COVID-19 vaccination requirement  Full story 3. Kaiser suspends 2,200 unvaccinated employees  Full story 4. Virtual healthcare is positioned to address social determinants.…

CMS' surprise-billing rule is 'underserved gift' to payers: AMA | Merck's antiviral pill cuts COVID hospitalizations | Centene settles 2 payment disputes | UnitedHealth keeps Medicare Advantage dominance | Ochsner workers charged for unvaccinated partners

October 1, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Louisiana health system issues $200 monthly premium to employees with unvaccinated partners Full story 2. Centene settles with Arkansas, Illinois over alleged overpayments Full story 3. UnitedHealthcare maintains…

UnitedHealthcare, Wellstar hit contract impasse | MA premiums to dip in 2022: CMS | Death allegedly linked to cyberattack on Ala. hospital | SDOH missing in nearly 99% of Medicare claims: study | No Surprises Act: 12 things to know

September 30, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare, Wellstar contract dispute leaves 80,000 at risk of losing in-network coverage Full story 2. Physicians failing to track social determinants of health in Medicare patients, study…

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Walmart Health struggles to bill payers | Humana reaches $11M settlement with nurses | WellCare partners with Carolina Panthers | CEO, COO exits prompt concern at Colo. system | Health insurance markets increasingly concentrated: AMA

September 29, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Walmart Health employees report hurdles with billing payers, patients overpaying  Full story 2. Health insurance market grows increasingly concentrated, report says: 7 things to know  Full story 3. Colorado health system…

Centene exec resigns | Pa. hospital to close | UnitedHealth develops calculator for COVID testing programs | Humana sues Biogen | Intermountain moves into flat-priced imaging | 2 largest nonprofit systems see finances bounce back

September 28, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene executive resigns: 4 things to know  Full story 2. UnitedHealth develops calculator to simulate COVID-19 testing programs  Full story 3. Tower Health to close 1 hospital, sell another Full story…

UnitedHealth teams up with Apple | Why 3 hospital bills went viral this year | Humana, Centene sue Merck over alleged price inflation scheme | 9 hospitals laying off workers | 94% of Californians insured, but many lack access to care

September 24, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene, Humana sue Merck over alleged 'monopolistic scheme' to inflate drug prices  Full story 2. 9 hospitals laying off workers  Full story 3. UnitedHealthcare, Apple offering free at-home fitness subscriptions to…

Cigna shakes up leadership | Mich. physician convicted in $100M scheme | BCBS of Mass. adds equity measures to payment models | Humana: Ex-CMO fired for inappropriate texts | 30 Ala. hospitals in jeopardy | CMS approves Clover Health's expansion

September 23, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna announces wave of executive moves  Full story 2. Michigan physician convicted in $100M healthcare fraud case  Full story  3. BCBS of Massachusetts to pay physicians more for closing racial…

Insurers claimed $9.2B in questionable payments: OIG | Ascension's tech arm to cut 330 jobs | 10 states with steepest COVID case surges | Blue Shield of Calif. partners with Venus Williams | Medicare benefit expansion: 13 stats to know

September 22, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 20 insurers received half of $9.2B in suspicious Medicare payments, feds report  Full story 2. Ascension's tech business to eliminate 330 more jobs  Full story  3. 10 states with largest…

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