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Payer Issues

Cleveland Clinic CFO exits for top payer job | Hospitals want DOJ probe of payer denials | Mayo's $142M operating gain | Health plan data breach affects 120K | Texas city gives insurance to all | Md. caps insulin costs | 8 contract disputes, resolutions

May 20, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Medical Mutual taps Cleveland Clinic CFO as new CEO Full story 2. Hospitals urge Justice Department to probe insurers over routine denials Full story 3. Rhode Island state hospital at risk…

Tenet hospital's Medicare funding at risk | 3 letters behind single-payer defeat in Calif. | Private payers pay 224% more than Medicare | ChristianaCare to open Highmark-exclusive clinics | Anthem, SCL fight over rate boost | New Medicare website unveiled

May 19, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Tenet Detroit hospital at risk of losing Medicare contract Full story 2. Commercial insurers paid hospitals 224% more than what Medicare did, study finds Full story 3. CMS launches more user-friendly…

Anthem rebrand approved | Novant to buy stake in MA plan | Bright Health expands leadership team | Commercial healthcare spending: States ranked | Anthem, Northside dispute heads to Ga. Supreme Court

May 18, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem shareholders vote to become Elevance Health Full story 2. Texas HHS director charged with insurance fraud Full story 3. Bright HealthCare, NeueHealth name new CEOs Full story 4.…

Single-payer Medicare bill reintroduced | Oscar hit with investor lawsuit | 10 hospitals that best avoid unneeded care | Humana to add 100 senior care clinics | PHE set to be extended | A COVID wave 'almost like omicron'

May 17, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Oscar Health concealed COVID-19 financial woes before IPO, investor lawsuit claims Full story 2. Humana partnership to invest $1.2B on 100 more value-based primary care clinics for…

Northwell offers coverage in Dominican Republic | 9 payer exec moves | How single payer would affect US: CBO | UnitedHealthcare's $100M upcoding suit can proceed | Rudeness: A care quality issue | The least insured county in each state

May 13, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Northwell Health expands patient care to Dominican Republic citizens Full story 2. The least insured county in every state Full story 3. Congressional Budget Office: Here's what…

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A bad Q1 for Oscar, Bright, Clover | 'Evil empire' nickname for UnitedHealth warranted: Lawsuit | NY creates office to regulate PBMs | Towns with highest insured rates | BCBS names HR chief | 3 top payers for diversity

May 12, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'Evil empire' UnitedHealth schemes to underpay providers, Envision suit alleges Full story 2. BCBS Association names new chief human resources officer Full story 3. Oscar Health, Bright…

Oscar Health to exit 2 states | The healthiest, unhealthiest parts of each state | Former UnitedHealth CEO made $142M in '21 | Cost of treating these diseases grew, fell most | Why HDHPs are rare in Hawaii | Meet Centene's office of the CEO

May 11, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Oscar Health to exit 2 states, releases Q1 earnings Full story 2. Arizona telemedicine owners plead guilty to $64M fraud, kickback scheme Full story 3. Former UnitedHealth CEO…

Hospitals tap insurers for price hikes | 6 payers ranked by Q1 profit | 100 counties with highest uninsured rate | Ark. BCBS names 5 execs | Sentara Health Plan to open care centers | 7 payers entering, exiting markets

May 10, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Arkansas BCBS hires, promotes 5 new execs Full story 2. Clover Health's major growth in Q1: 6 things to know Full story 3. Hospitals tap insurers for…

Cigna's Q1 profit hits $1.2B | Aetna, Anthem execs join Waymark | UnitedHealthcare, WakeMed hit contract snag | What private insurers pay vs. Medicare, by state | Nurses make exit plans after colleague's conviction | US uninsured rate in '21: 9.2%

May 6, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna's $44B revenues in Q1: 7 things to know Full story 2. 9.2% of Americans were uninsured in 2021: 7 things to know Full story 3. WakeMed, UnitedHealthcare…

Centene to sell pharma assets for $2.8B | Cigna launches cancer consult service | 40 medical practices sue UnitedHealth | 4 of the largest health data breaches hit payers | Opinion: Call a surge a surge | 5 payer-provider contract disputes, resolutions

May 5, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene to sell Magellan, Pantherx pharmacy businesses for $2.8B Full story 2. Anthem finalizes acquisition of Integra Managed Care Full story 3. The 10 largest data breaches ever…

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