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Payer Issues

Hospitals holding up Wash. state's public option, lawmakers say | Humana sues Regeneron over drug pricing | COVID-19 hospitalizations up in 47 states | NY insurance CEO: 'Healthcare is not a digital event'

July 28, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Why hasn't all of Washington state adopted its public-option program? Full story 2. Epic pays hospitals that use its EHR algorithms, report finds Full story 3. 47 states where…

CMMI: 4 conclusions after a decade of payment experiments | US News: 20 best hospitals + No. 1 by state | 'Medicare for All' rallies held in 50 cities | Cigna, MultiPlan ask judge to toss underpayment suit

July 27, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Florida physician sentenced in $20M healthcare fraud scheme Full story 2. No more 'letting 1,000 flowers bloom': 4 successes in Medicare innovation Full story 3. UF Health Jacksonville CEO…

BCBS of Tenn., CHI Memorial hit contract impasse | Telehealth costs at Amazon, Walmart, Walgreens, CVS | 3 states tied to 40% of COVID-19 cases | BCBS of Kansas City sues lab, alleging inflated claims

July 23, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. BCBS of Tennessee, CHI Memorial at contract impasse Full story 2. 3 states responsible for 40% of COVID-19 cases Full story 3. Humana, Centene opioid recovery drug suits dismissed Full story 4. All…

Mo. Medicaid expansion upheld | BCBS of SC, feds settle discrimination allegations | 18 systems with strong finances | Cigna, Oscar tag team virtual primary care | Medicaid coverage gap a payers' boon

July 22, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. BCBS of South Carolina strikes agreement with feds over alleged hiring discrimination Full story  2. Missouri Supreme Court rules in favor of Medicaid expansion Full story 3. 18 health systems…

Anthem, Dignity end contract | Healthcare consolidation 'warrants being looked at': AHIP CEO | UnitedHealthcare CMO departs | 44 states with rising COVID-19 hospitalizations | Centene CEO: What would make us stay in Mo.

July 21, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Dignity Health, Anthem end contract Full story 2. 44 states where COVID-19 hospitalizations are rising: July 21 Full story 3. Healthcare consolidation 'warrants being looked at,' AHIP CEO…

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UnitedHealth CEO: Get used to lower ER use | CMS' outpatient payment rule for '22: 7 notes | 10 states with highest COVID-19 case increases | Prime, 2 physicians settle false claims case | Clover CEO clears air

July 20, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. ER usage could see permanent drop due to COVID-19, UnitedHealth CEO says Full story 2. CMS proposed outpatient payment rule for 2022: 7 things to know Full story 3. 10 states…

Hospitals blast UnitedHealth profits | Why this insurance CEO thinks big healthcare brands are losing significance | Mo. governor, Mercy execs clash | Centene restructures leadership

July 16, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Hospitals blast UnitedHealth profits Full story 2. Missouri governor clashes with hospital execs over vaccine mandates Full story 3. Kaiser CFO's advice to healthcare leaders: 'Get comfortable with being uncomfortable' Full story…

Anthem, Kroger team up for Medicare plans | UnitedHealth's profit slips | Aetna drops $50M overbilling suit against Mednax | 8 employers to watch in direct contracting | Top 25 places to live

July 15, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth's profit slips 36% in Q2: 7 things to know Full story 2. Johns Hopkins study of 1.9 million COVID-19 cases links severity with blood types + more Full…

New CMS rule would update Medicare shared savings, telehealth coverage | Where COVID-19 cases are up 404% | Why Calif. physicians want Aetna case reviewed | Aduhelm gets a no from more private payers

July 14, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS pitches physician payment rule for 2022: 9 things to know Full story 2. Eyes on Tennessee: COVID-19 cases up 404% in 2 weeks Full story 3. 6 BCBS affiliates…

Humana quietly funding clinics | Physician sentenced for defrauding 3 insurers | Hospitals call Biden EO 'misguided' | Medicare starts Aduhelm coverage review | Cigna wins out on NFL claim suit

July 13, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Physician sentenced for defrauding 3 insurance companies out of $17M Full story 2. Humana quietly funded 40 Iora primary care clinics Full story 3. 'Best of intentions can be…

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