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Payer Issues

Texas NP used physician IDs to defraud insurers | Suicide attempts put Children's Colo. in state of emergency | Jefferson on track to fully own Pa. insurer | Lawmakers eye public option | 15 insurers members like the most

May 27, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Texas NP gets 20-year sentence, ordered to pay $52M for fraud using physician IDs Full story 2. 'Overrun with kids attempting suicide': Children's Colorado declares state of…

Insurers sue CVS over drug prices | Va. system, Cigna at contract impasse | HHS allots $4.8B to test uninsured for COVID-19 | 10 financially strong systems | IRS issues COBRA guidance | Google, HCA partner

May 26, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Insurers accuse CVS of overcharging for generic drugs Full story 2. Virginia health system, Cigna at contract impasse Full story 3. CDC releases breakthrough infections report: 5…

Brooks-LaSure confirmed as CMS chief | States ranked by preventable hospitalizations | Next Gen ACO model to end | Tenn. to intervene in Medicaid waiver case | Anthem received millions in overpayments: OIG

May 25, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Meet new CMS Administrator Chiquita Brooks-LaSure: 4 things to know Full story 2. Anthem received millions in overpayments from CMS, inspector general says Full story 3. CDC…

UnitedHealthcare, Montefiore split nears 6th month | Ill. hospital gets new trial in $20M Humana dispute | Colo. will pay hospitals to close freestanding ERs | Kan. tosses 'junk insurance' bill | What's 'COVID arm'? 7 findings

May 21, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Illinois hospital gets new trial in $20M Humana dispute Full story 2. Tens of thousands of patients still in limbo amid UnitedHealthcare, Montefiore split Full story 3.…

Centene CEO wants to leave Mo. | Failed NY insurer gets $220M settlement from US | JPMorgan launches health co. | Texas to reapply for Medicaid waiver | Tufts-Harvard Pilgrim gets CEO

May 20, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene CEO wants to leave Missouri after Medicaid expansion decision Full story 2. Failed New York health insurer gets $220M settlement from US Full story 3. JPMorgan…

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Wis. employers swap UnitedHealthcare for network vowing 15% lower costs | Va. physician gets 59 years in prison for $20M fraud | SCA fires back at DOJ in collusion case | Anthem, Epic go in on data sharing with providers

May 19, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Wisconsin employers leave UnitedHealthcare for new network promising 15% lower costs Full story 2. CHS has sued 19,000 patients for unpaid bills amid the pandemic Full story  …

Aetna investigates potential 'waste, fraud' at Texas hospital | CMS further delays breakthrough tech rule | Nurses 'outraged' over new mask guidance | Back to office for most Humana workers | 10 healthcare lawsuits, settlements

May 18, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Aetna investigating potential 'waste, abuse and fraud' at Cook Children's amid life support controversy Full story 2. Texas AG sues Biden administration over revoked Medicaid funding Full…

Hospitals adding payer performance officers to C-suite | 10 US counties where COVID-19 hospitalizations rising fastest | Miss. next target for Medicaid expansion | Oscar loses $87M in Q1 | Fortune's 8 greatest healthcare leaders

May 14, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Mississippi next Medicaid expansion target for advocacy groups Full story 2. 10 US counties where COVID-19 hospitalizations are rising fastest: NYT Full story 3. Who health systems…

Mo. withdraws Medicaid expansion | Where hospitals are best, worst at avoiding overuse | Cigna CEO unloads $16M in stock | Centene, Magellan deal nearly done | UnitedHealth, CVS among world's 20 largest healthcare cos.

May 13, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Missouri withdraws plans for Medicaid expansion Full story 2. 20 largest healthcare companies in the world for 2021 Full story 3. Mayo, Kaiser strike joint investment in…

Saint Francis CEO blames BCBS break on last-minute term changes | Hospitals with more privately insured have better quality: study | U of Miami to settle false billing case for $22M | Ex-nursing aide sentenced for 8 patient deaths

May 12, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Saint Francis CEO says last-minute changes led to BCBS break; insurer disagrees Full story 2. Apple Health, Amazon lose key healthcare leaders: 5 things to know Full…

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