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Payer Issues

Wash. system to sever contract with Premera Blue Cross | Optum's growth in 13 numbers | Ascension settles false claims allegations | 7 states account for half of COVID cases, hospitalizations | Lab countersues BCBS of Kansas City

August 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Washington health system to sever contract with Premera Blue Cross Full story 2. 13 numbers that show Optum's Q2 growth Full story 3. White House reports 'significant' rise…

OIG auditing Aetna MA plans | Cardiologist sentenced for 'fountain of youth' billing scam | ICU capacity strained in Ark., Miss. | Cigna's profit dips to $1.5B | Telehealth prices at 25 hospitals

August 5, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. OIG auditing Aetna's Medicare Advantage plans Full story 2. COVID-19 surge strains ICU capacity in Arkansas, Mississippi: 5 things to know Full story 3. Cardiologist gets 6.5 years…

Aetna, CVS to enter ACA marketplace in 8 states | 7 ways this surge is different | PE firm creates value-based care co. | UnitedHealth consultants lose class certification in wage suit | US ranks last in healthcare

August 4, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Judge decertifies class in suit against UnitedHealth subsidiaries alleging underpayment of consultants Full story 2. 7 ways this COVID-19 surge is different Full story 3. Aetna, CVS to…

Pa. system sues insurer for $1B | CMS' inpatient payment rule: 7 notes | NPs get prison time for Medicare fraud | How Anthem, UnitedHealth + 3 payers fared in Q2 | Humana names new president

August 3, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Allegheny Health Network sues insurer for $1B Full story 2. CMS' final inpatient payment rule for 2022: 7 things to know Full story 3. 2 states account for…

Blue plans not 1 entity, providers argue | Fla. sees record high COVID-19 admissions | Viewpoint: 'Medicare for All' movement lost its punch | EmblemHealth CEO on being a provocateur for progress

July 29, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Blue plans not 1 entity, providers argue Full story 2. Daily COVID-19 admissions hit record high in Florida Full story 3. 'Medicare for All' movement has lost its punch, one…

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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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