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Payer Issues

DOJ v. UnitedHealth, Change trial: 8 notes | CMS' final inpatient payment rule: 6 takeaways | Molina sheds office space | Centene expects lower MA star ratings | 27 payer exec moves | BCBS v. UMMC: a timeline

August 2, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Federal trial begins over proposed UnitedHealth, Change Healthcare merger: 8 notes Full story 2. 27 payer exec moves in July Full story 3. CMS' inpatient payment rule: 6 takeaways Full story 4. Is automation more…

BCBS Miss. sues UMMC execs amid contract break | Molina's 34% Q2 profit boost | 429 hospitals with 5 stars from CMS | Viewpoint: MA 3rd-party marketing rule misses the mark | UnitedHealth, Anthem execs join vision startup | Highmark, Bridges ink contract

July 29, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. BCBS Mississippi sues UMMC execs for alleged defamation following messy contract break Full story 2. 429 hospitals with 5 stars from CMS: 2022  Full story 3. Molina's 34% profit increase in…

Humana to restructure execs, units | 192 new 1-star hospitals | Trillions of rows of public payer data: When will it be usable? | Senator dares insurers to follow UnitedHealthcare's lead with insulin | UMMC broke law in BCBS dispute, state says

July 28, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'There's trillions of rows of data here': Payers' prices are now public — when will they become usable? Full story 2. Humana restructuring into 2 units, will hire new…

Humana boosts Q2 profits | Calif. payers commit to new primary care model | Optum vs. Amazon after $3.9B One Medical deal | 13 payer entrants, exits | The time to modernize data collection is now | States ranked by MA members

July 27, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Humana's 18.5% profit boost in Q2: 8 notes Full story 2. Optum vs. Amazon after the $3.9B One Medical deal Full story 3. California payers commit to statewide value-based primary care…

Trial begins for ACA preventive care rule | Mich. orders payer to stop operations | Centene posts $172M in Q2 losses | US News: 20 best hospitals | Centene selling European businesses | BCBS Neb. returns to ACA | Evernorth moves into NJ campus

July 26, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Court arguments begin over ACA preventive care requirement: 10 notes Full story 2. Centene's Q2 losses top $172M: 7 notes Full story 3. US News' Best Hospitals 2022-23 Honor Roll Full story…

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Optum sees 7th exec exit | CMS releases home care quality measures | The state of MA in 2022 | 14 CEO moves | UnitedHealth forms Wis. ACO | 6 payers adding new C-suite roles | 5 states expanding Medicaid to noncitizens | Empire exits NYC MA plan

July 22, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Optum's chief health officer departs for digital health company Full story 2. UnitedHealthcare launching new ACO in Wisconsin Full story 3. CMS releases 1st home, community-based services quality measure set Full story…

Payers raising rates 10% in 2023 | Q&A: BCBS Minn. CEO Dana Erickson | Amazon inks $3.9B One Medical deal | Elevance to grow post-acute program | AllWays to become Mass General Brigham Health Plan | Health Insurance Innovations, CEO settle SEC fraud case

July 21, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Amazon to acquire One Medical in $3.9B deal Full story 2. Payers will raise rates an average of 10% in 2023 as healthcare usage rises Full story 3. Q&A: BCBS Minnesota…

Elevance Health's 8% Q2 profit dip | JPMorgan invests $30M in Centivo | Optum bets on virtual, home care | AIDS Health Foundation sues Express Scripts | Canopy, Providence take aim at Kaiser | Maine's ACA merger OK'd | 8 recent Centene stories

July 20, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Elevance Health's 8% net income dip in Q2: 7 things to know Full story 2. Optum's bet on virtual care, home health  Full story 3. JPMorgan invests $30M in self-funded…

Calif. OKs Kaiser Medicaid contract | Q&A with PopHealthCare CEO Eric Galvin | OU, BCBS Okla. ink value-based contract | Clover Health expanding MA plans | WVU Med. creating Medicare, Medicaid plans | Humana becomes Pa. ACO partner | 9 MA headlines

July 19, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. California approves Kaiser Permanente's special Medicaid contract Full story 2. Hospitals press CMS to rethink proposed inpatient payment rates Full story 3. OU Health, BCBS Oklahoma ink value-based contract Full story 4. Health…

UnitedHealth's Q2 profit: $5.1B | Empire BCBS to cover multiorgan transplant | Point32Health adds abortion travel benefit | Ill. physician charged in $4M BCBS, Medicare fraud scheme | Central Maine, Anthem ink contract | Molina to buy Wis. Medicaid MCO

July 15, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group's 13% revenue growth in Q2: 11 things to know Full story 2. Empire BCBS will now cover multiorgan transplant for cancer patient following push from Cleveland Clinic. Full…

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