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Payer Issues

March 26, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Lawsuit alleges Texas dermatologist, clinic racked up $4.2M in false claims Full story 2. Washington health system blames Cerner for bankruptcy Full story 3. Aetna names…

March 25, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. What Humana, Cigna & more learned from yearlong prior authorization pilot Full story 2. Loretto Hospital executive resigns amid uproar over improper distribution of COVID-19 vaccinations Full…

March 24, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 10 CEO changes at payers in 2021 Full story 2. New Medicare rule will cut payments to hospitals for some surgeries Full story 3. Anthem to buy…

March 23, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Highmark net income hits $1B in 2020 Full story 2. Executives, physicians at Texas hospital sentenced in $200M scheme Full story 3. CMS payment models that are…

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March 18, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden administration unwinds Medicaid work requirements in Arkansas, New Hampshire Full story 2. Senate confirms Xavier Becerra as HHS secretary Full story   3. CMS cuts 4…

March 17, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS delays rule for breakthrough medical technologies: 4 things to know Full story   2. Anthem, Cigna shares hit 1-year high Full story   3. FCC fines…

March 16, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Aetna barred from seeking alleged hospital overpayments linked to Mednax billing Full story   2. Instagram photos in OR prompt investigation at Spectrum Health Full story  …

March 12, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Ohio sues Centene, claims misrepresented pharmacy expenses cost Medicaid millions Full story 2. Biden to states: Open vaccine eligibility to all adults by May — 5 speech…

March 11, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Former Surgical Care Affiliates director sues UnitedHealth, others over alleged 'no-poach' agreements Full story 2. Supreme Court cancels hearings for Medicaid work requirement cases Full story 3. 'Ticking time…

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