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Payer Issues

Ransomware group claims to steal 850K records from health plan | RI fines UnitedHealthcare over denials | CMS floats hospice pay rule | States ranked by hospital admission rates | 4 payer execs named to list of 75 Black healthcare leaders to know

March 31, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Ransomware group claims to have stolen 850,000 patient records from California insurer Full story 2. Aetna sued over 'unreasonably low' reimbursement to Florida plastic surgery provider Full story…

Anthem exec joins virtual care co. | Mark Cuban's pharmacy adds 50+ drugs | A look at UnitedHealth's M&A deals | 5 payer exec resignations, retirements | UnitedHealthcare, Vt. system strike new contract | Why rudeness is on the rise

March 30, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Former Anthem exec joins virtual care company Full story 2. A look into UnitedHealth's M&A deals Full story 3. 5 payer exec resignations, retirements Full story 4. Discover…

UnitedHealth strikes $5.4B deal | Ga. fines BCBS $5M | Feds restore halted Medicaid funding to Texas hospitals | Biden's budget: 9 healthcare notes | Ore. health plan confirms data breach affecting 10K + 5 other breaches

March 29, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. $5M fine against BCBS largest in Georgia regulator's history Full story 2. Cigna sued for alleged nonpayment of chiropractic service claims Full story 3. UnitedHealth to buy home-health…

2 min. may cost Tufts Health Plan $400M | Healthcare CEOs' big paydays | BCBS of Kan. reports data breach | Optum to expand in 37 states with acquisition: report | Mich. passes prior auth reforms | 7 payer exec moves

March 25, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 2 minutes — and traffic — may have cost Tufts Health $400M Full story 2. Optum reportedly buys Refresh Mental Health Full story 3. BCBS of Kansas notifies…

Allina Health-Aetna taps CEO | Highmark reports data breach | CommonSpirit launches outcome-based pay model | Mich. lawmaker eyes single-payer healthcare | Anthem's bid to toss $51M escrow suit denied

March 24, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Highmark Health confirms data breach affecting up to 67,000 people Full story 2. Ex-Vanderbilt nurse's trial could set dangerous precedent, ANA warns Full story 3. Allina…

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Centene names CEO | Wis. bans health insurer | ProMedica's health plan to lay off 200 | TeamHealth sued over alleged upcoding | UnitedHealth's mental health claim denials were reasonable: Appeals court | Humana issues $750M debt offering

March 23, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene names new CEO Full story 2. ProMedica to lay off 200 employees after health plan loses contract Full story 3. Payer banned in Wisconsin following sale of…

Cigna exec to join Tenet | What 4 payer CEOs earned in '21 | Ill. fines BCBS over contract termination | Kaiser sued over alleged underpayments | M&A fuels Highmark's $440M profit | NY system tries to recoup $228M from insurer | 7 billing fraud cases

March 22, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna exec to join Tenet as VP of investor relations Full story 2. What 4 major payer CEOs earned in 2021 Full story 3. Criminal trial begins for…

12 states with highest uninsured rates | AMA eyes suit targeting prior auth 'abuses' | Is single-payer feasible in the US? 1 CMO answers | Anthem may dodge suit over $415K bill | Where are Americans quitting most?

March 18, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. AMA considering lawsuit to target prior authorization 'abuses' Full story 2. Where are Americans quitting jobs the most?Full story 3. These 12 states had uninsured rates higher…

UnitedHealth blasts DOJ challenge to Change deal | BCBS sues Walgreens | Anthem Blue Cross ends payment of consultations | 10 most segregated hospital markets | Humana workers go back to office after 2-year hiatus

March 17, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth blasts Justice Department challenge to Change deal Full story 2. States ranked by omicron subvariant prevalence Full story 3. Walgreens sued by BCBS payers, health systems for…

MA plans got $12B in excess pay: Watchdog | $36K hospital bill goes viral | Molina called out over reimbursement | Results from Banner-Aetna partnership | Humana, La. hospital hit contract snag | COVID cases rise in UK, as do questions

March 16, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Medicare Advantage collected $12B in 'excess payments', watchdog report says Full story 2. 'How do regular people with low income pay for that?': $36K hospital bill goes…

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