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Payer Issues

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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Biden EO calls out health insurer consolidation | 15 best, worst states for retirement | Trinity may sell stake in Medicaid plan to Highmark | CMS' 2022 payment rules: 21 notes | BCBS of RI CMO heads to Olympics

July 9, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden zeros in on healthcare competition in executive order: 10 notes Full story 2. Analysts say UnitedHealth's earnings will decline in Q2 Full story 3. At current rate, 70% of adults…

Aetna cataract policy draws physician backlash | Lab CEO charged in $86M Medicare billing scheme | RIP 'Uber of healthcare' | Biden to target noncompetes | Humana downsizes in Wis.

July 8, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Physicians push back against new Aetna cataract surgery policy Full story 2. Biden to target noncompete clauses in exec order Full story 3. Tennessee lab CEO charged in $86M…

Amazon Care wants Aetna, BCBS plans to cover its services | Insurer startups hiring more physicians | CMS targets retroactive ED denials | COVID-19 hospitalizations up in 21 states | Humana to hire 200

July 7, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Amazon Care approached big health insurers to expand coverage Full story 2. Health insurance startups hiring more physicians Full story 3. 21 states where COVID-19 hospitalizations are…

UnitedHealthcare's ER policy violates patient protection laws, physicians say | COVID-19 cases up in 17 states | Medicare has new director | Beaumont-Spectrum merger could spark tougher payer negotiations

July 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare ER policy challenges patient protection laws, physicians say Full story 2. Amid rising COVID-19 cases, delta variant & July 4 collision has some experts 'very concerned' Full…

BCBS Association innovation chief: 2 things that need to change | DOJ targets EHR false claims | Healthcare spending per capita, by state | 6 payer CEOs on AHIP's board | Cigna gets win in NJ lab lawsuit

July 2, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. BCBSA chief innovation officer on transforming healthcare one step at a time Full story 2. How much each state spends per capita on healthcare Full story 3.…

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