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Payer Issues

Texas hospital loses Medicare contract | Kaiser, Morgan Health partner | Excellus BCBS names 1st female CIO | 8 hospital layoffs | 5 payers among best companies for remote work | Calif. sues cost-sharing ministry over unauthorized health plan sales

January 13, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Texas hospital loses Medicare contract after regulators report 'substandard' care Full story 2. 10 hospitals seeking payer contracting talent Full story 3. Morgan Health partners with Kaiser: 5…

CMS plans to limit Aduhelm coverage | Healthcare's best places to work | UnitedHealthcare settles underpayment suit for $10M | Centene adds 5th board member | Anthem moves to halt order extending Ga. hospital's contract

January 12, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS unveils preliminary Aduhelm coverage decision Full story 2. UnitedHealthcare settles class-action underpayment suit for $10M Full story 3. Omicron's spread, severity: 2 new findings Full story 4. Demand…

Insurers must cover at-home COVID tests + payers react | 29 best healthcare jobs | HHS to CMS: Reassess Part B premium | 26 medical orgs fight surprise-billing process | 8 exec resignations | UnitedHealth subsidiary ordered to pay $20M in legal fees

January 11, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Payers must cover at-home COVID-19 tests starting Jan. 15 Full story 2. Payer advocates react to Biden at-home COVID-19 test coverage rule Full story 3. HHS calls for…

Single-payer healthcare on the table in Calif. | 5 payer exec moves | WHO not concerned about variant in France | OIG flags coding errors at Healthfirst | Anthem sued over overtime pay | CMS floats Medicare Advantage, Part D rule

January 7, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. California Democrats pitch plan for taxpayer-funded universal healthcare: 7 things to know Full story 2. WHO not concerned about new variant in France Full story 3. 5 recent…

Centene names transformation chief | Physician faces charges over $46M in Medicare billings | 11 short-staffed hospitals halt services | Humana delays office return, mandates boosters | 13 states set COVID hospitalization records

January 6, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene names Magellan exec as chief transformation officer Full story 2. 13 states set COVID-19 hospitalization records this week Full story 3. 7 medical claims expected to increase in…

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Medicare funding at Ill., Texas hospitals at risk | UnitedHealthcare: No changes to ER coverage policy | UPMC hit with $250K claims notification penalty | Aetna: 20 things to know | 4 US health plans among world's largest insurers

January 5, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare assures no changes to ER coverage policy in 2022 Full story 2. UPMC hit with $250K claims notification penalty Full story 3. Hospitals in Texas, Illinois face…

Centene buys Magellan for $2.2B | Ex-Aetna CEO to co-lead hedge fund | Court orders Anthem to keep 400,000 hospital patients in-network until Feb. 1 | HHS floats rule for ACA plans | New variant found in France | No Surprises Act is in effect: 9 details

January 4, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. HHS proposal prioritizes ACA plan comparison, health equity: 5 things to know Full story 2. Former Aetna exec named co-CEO of world's largest hedge fund Full story 3.…

10 states COVID may hit hardest by NYE | 20 things to know about UnitedHealth | Lawmakers want Summa Health deemed 'distressed' | Anthem to acquire Medicaid contract | Nonprofit hospitals in these 10 states report lowest expenses | Tenet closes $1.1B deal

December 23, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 20 things to know about UnitedHealth Group  Full story 2. Record-setting 13.6 million people will be covered by ACA plans  Full story 3. 10 states COVID-19 could hit hardest by NYE:…

8 hospitals flagged for billing errors | 5 recent payer disputes | Omicron no less severe than delta: study | Feds approve Ark. Medicaid expansion overhaul | 20 things to know about Centene | 12 hospital bankruptcies, closures | Booster rates by state

December 22, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 8 hospitals flagged by HHS for billing errors this year  Full story 2. Omicron infections no less severe than delta, early study suggests  Full story  3. 20 things to know…

Biden's plan to fight omicron: 5 details | Payers issued $2B in premium rebates | IU Health freezes prices | 3 insurers penalized for health parity violations | FBI investigates vaccinations at hospital CEO's church | Anthem, Memorial Health ink contract

December 21, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden's plan to fight omicron: 5 things to know  Full story 2. Payers issued $2B in 2020 premium rebates, CMS finds  Full story 3. Nonprofit hospitals in these 10 states report…

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