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Payer Issues

NJ lab hits back in Cigna payment case | 9 hospital layoffs | Northwell taps Aetna exec as COO of direct contracting | Ill. extends Medicaid coverage for new moms | BCBS of Minn. parent to sell HSA unit

April 14, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. New Jersey lab hits back in Cigna case over COVID-19 payments Full story 2. 1 dead in shooting at Ohio hospital, police say Full story 3. Northwell…

BCBS of Mass. accused of allowing systematic overpayments | How states, pharmacies are handling J&J vaccine pause | 9 best systems to work for, per Fortune | Anthem to give employees COVID-19 vaccine incentives

April 13, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Lawsuit accuses BCBS of Massachusetts of systematically allowing overpayments Full story 2. How Walgreens, CVS, states are handling the J&J vaccine pause Full story   3. These…

CMS pitches 4 payment rules | Cigna, Oscar expand partnership | J&J vaccine shortage coming | 10 most common passwords | Anthem teams up with EHR startup | Cyberattack exposes data of 1.2M Health Net members

April 9, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS pitches 4 payment rules for 2022: 12 things to know Full story 2. J&J vaccine shortage to hit states next week Full story 3. Cigna,…

CMS adds 24 codes for telehealth, proposes 2 payment rules | Nurse accuses Highmark of failing to pay OT | Hospital expenses per inpatient day, state by state | NJ hospital, Horizon BCBS end 6-year legal feud

April 8, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS adds 24 new codes for temporary telehealth coverage Full story 2. New Jersey hospital, Horizon BCBS end 6-year legal feud Full story 3. CMS proposes boost…

UnitedHealthcare gets new chief | UK variant now most common strain in US | Medicaid work rules pulled in Mich., Wis. | States ranked by hospital beds | Cigna offers some members debit cards to switch drugs

April 7, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare gets new CEO Full story   2. UK variant now most common strain in US, CDC head says Full story   3. Biden rescinds Medicaid work…

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States ranked by ER visits | Teva: Dismiss Humana MS drug case | 33 billionaires in US healthcare | Aetna to run Ohio Medicaid program for kids | How many Medicare Advantage lives 15 payers added this year

April 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. States ranked by ER visit rate Full story 2. Teva moves to dismiss Humana's lawsuit over multiple sclerosis drug Full story 3. Physicians collect 20% more from…

Anesthesiologists: UnitedHealthcare squeezes competition like a 'boa constrictor' | CDC clears travel for fully vaccinated | OIG: HCA hospital received $23M in overpayments | CMS recouping advanced Medicare payments

April 2, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare squeezes competition like a 'boa constrictor,' physicians say Full story 2. Fully vaccinated people can travel: CDC revises guidelines Full story 3. At 1 Sutter hospital,…

CVS expects 65 billion healthcare interactions by 2030 | Mass. insurer exits commercial business | LA hospital closes | Wis. physician admits to $26M billing fraud | 30 payer exec moves

April 1, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CVS: Expect 65 billion healthcare interactions by 2030 Full story 2. A top Walmart healthcare executive resigns Full story 3. Wisconsin physician pleads guilty to $26M fraudulent…

BCBS of Minn. CEO Dr. Craig Samitt to retire | Medicaid changes make Biden's $2T infrastructure plan | 10 insurers ranked by share of Medicare Advantage | Miss. hospital overbilled Medicare, OIG says

March 31, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden's $2 trillion infrastructure plan: 5 notes for healthcare leaders Full story 2. BCBS of Minnesota CEO Dr. Craig Samitt to retire Full story 3. Mississippi hospital overbilled…

Holdout states reconsider Medicaid expansion | Hospitals admit more young adults for COVID-19 in Mich. | Humana reaches settlement in overtime wage case | Texas Health Aetna gets interim CEO

March 30, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Holdout states reconsider Medicaid expansion after increased funding Full story 2. Young, unvaccinated adults fuel COVID-19 hospitalization surge in Michigan Full story 3. California clinic's $81M payments…

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