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Payer Issues

Kaiser restructuring health plan in 2 states | 14 top paid healthcare CEOs | Centene board member resigns | Hospitals with most Medicare Advantage patients | States that restrict payer collection of race, ethnicity data

April 18, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene board member resigns over dispute with leadership Full story 2. Anthem sued for alleged 'inconsistent' claims processing Full story 3. Kaiser to restructure Colorado, Washington operations Full story…

Bright Health to exit 6 states | CMS revises surprise-billing arbitration | Largest commercial payer in each state | 10 places COVID cases may jump most | 12 UnitedHealth, Centene updates | ACA's 5 most popular provisions

April 15, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Bright Health to exit 6 states Full story 2. Biden has yet to toss short-term health plans he called 'junk' Full story 3. The largest commercial payer in…

UnitedHealth's $80B Q1 | 40% of top execs left NY health plan | Tech burned by nurse sues Hackensack | Anthem ordered to keep Northside contract intact | Payers' fitness tech discounts | ACA repeal off the table for Grassley

April 14, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth sees 14% revenue growth in Q1: 14 things to know Full story 2. Tech attacked, burned by travel nurse sues Hackensack Full story 3. At least 40%…

6 payers adding new C-suite roles | Public health emergency renewed | Scrutiny builds over MA plans | Delta ends insurance surcharge for unvaccinated staff | Providence to pay $22.7M to settle unnecessary care suit | States ranked by suicide rate

April 13, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Why 6 payers recently added nontraditional roles to their C-suites Full story 2. COVID-19 public health emergency renewed Full story 3. Delta Air Lines drops health insurance surcharge…

Hospitals with most Medicare, Medicaid patients | Best payers to work for: Fortune | CEO added to $120M Medicare fraud case | UnitedHealth subsidiary ordered to pay $200M over coverage denials | Colo. fines Bright Health $1M

April 12, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. US hospitals with the highest share of patients on Medicare Full story 2. US hospitals with the highest share of patients on Medicaid Full story 3. Renewal…

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8 health insurance execs on the move | Longtime Centene CEO dies | UnitedHealthcare launches virtual PT | 9 hospitals cutting services | Mich. reforms prior auth rules | 5 best healthcare cos. for career growth

April 8, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 8 recent payer executive moves  Full story 2. Longtime Centene CEO Michael Neidorff dies  Full story 3. 9 hospitals scaling back services  Full story 4. Leading health systems have proactive workforce strategies. Here's…

Why insurers, health systems are breaking up | Fla. system strikes $20M false claims deal | Calif. investigating Centene | Atlanta hospital to end inpatient care | 5 payer-provider contract terminations | Kan. hospital CEO resigns

April 7, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Why insurers, health systems are breaking up  Full story 2. Florida health system will pay $20M to resolve false claims case  Full story 3. 5 recent payer-provider contract terminations  Full story 4.…

20 top hospitals' payer mix | Maine hospital to drop Anthem over $70M in unpaid claims | 33 billionaires in healthcare | Payers cut brokers' commissions | MBAs in management linked to lower employee pay | Tivity Health strikes $2B deal

April 6, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. MaineHealth says $70M in unpaid claims reason to drop Anthem  Full story 2. 33 billionaires in US healthcare  Full story 3. Payer mix in the nation's top 20 hospitals  Full story 4.…

Biden wants to update ACA | Former Humana exec lands CEO role | Optum, Change set $650M breakup fee | 7 hospitals laying off workers | 10 least healthy US cities | How should telehealth be reimbursed?

April 5, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden proposes ACA coverage expansion to include more families  Full story 2. 7 hospitals laying off workers  Full story 3. Former Humana executive lands CEO role at Acadia  Full story…

BCBS Ill. president abruptly exits | UnitedHealthcare, Broward sever contract | Health Care Service Corp. shakes up C-suite | 9 payers fined by states | Why physicians resist telehealth | Time for more nurse CEOs?

April 1, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Steve Hamman out as president of BCBS Illinois; replacement named Full story 2. COVID-19 cases up in 17 states Full story 3. UnitedHealthcare, Broward Health terminate contract, affecting…

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