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Payer Issues

Payers slam Mass. system's $2.3B expansion | 6 'most ethical' payers | Calif. targets payer costs | Biden wants stricter payer mental health parity enforcement | 6 payer-provider contract disputes, resolutions

March 15, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Payers speak out on proposed Mass General Brigham expansion Full story 2. 6 healthcare payers among 'World's Most Ethical Companies' for 2022 Full story 3. Novant Health…

Deltacron: What we know | Oscar, Bright Health, Clover post losses of $500M+ | BCBS, Memorial Hermann reach deal | Marketplace plan enrollment, by state | Calif. physician charged in $36M Medicare fraud scheme

March 11, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Oscar Health, Bright Health, Clover Health post losses exceeding half a billion dollars in 2021 Full story 2. BCBS, Memorial Hermann reach deal to keep 100,000 members in-network…

Anthem to change name | 12 physicians sentenced for $250M billing fraud | 10 drugs that cost Medicare the most | CareFirst names diversity director + 7 other payer exec moves | Anthem sues ex-president, alleges trade secret theft

March 10, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem plans to change name, rebrand Full story 2. MyMichigan Health CEO Dr. Diane Postler-Slattery, husband die in plane crash Full story 3. 12 physicians sentenced in $250M…

Oscar COO to resign | Aetna, Optum must face 'dummy code' suit | A look at AMA's single-payer fight | 151-day telehealth expansion on the table | Vt. system urged to resolve spat with UnitedHealthcare | 5 payers flagged for coding, reimbursement errors

March 9, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Oscar Health's COO to resign Full story 2. Congress set to add 151 days of telehealth coverage Full story 3. 5 payers flagged for coding, reimbursement errors Full story…

Broward, UnitedHealthcare hit contract impasse | 9 top Medicare, Medicaid plans | Calif. payer fined $55M for care authorization delays | HHS: COVID funding is used up | 250+ orgs reject CMS' direct contracting model rebrand

March 8, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Broward Health, UnitedHealthcare hit contract impasse Full story 2. California health plan fined $55M for care authorization delays Full story 3. Mallinckrodt to settle drug rebate, kickback suits…

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Optum's provider + growth strategy | Bright Health lays off 150 | Vt. system wants out of UnitedHealthcare contract | Centene withheld overtime pay, suit claims | Senate votes to end COVID emergency as Biden seeks more aid

March 4, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Bright Health lays off 150 workers, 5% of workforce Full story 2. Optum's strategy for 2022 growth Full story 3. Employee sues Centene claiming overtime pay was withheld…

Tenn. physician convicted of $50M billing fraud | Clover Health must face suit alleging it misled investors | 15 states hit most, least by 'Great Resignation' | Civica to make low-cost insulin; BCBS backs effort | 8 CMS actions

March 3, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 8 recent CMS moves Full story 2. 15 states hit most, least by the 'Great Resignation' Full story 3. Clover Health must face lawsuit alleging it misled investors Full…

Largest payer in 50 states | Biden's new COVID plan | UnitedHealthcare to nix paper checks | 25 US hospitals among Newsweek's best in the world | Where Cigna may invest $450M in venture capital | HHS to revise surprise-billing arbitration

March 2, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. The largest health insurance provider in each state Full story 2. White House rolls out next COVID-19 plan: 8 details Full story 3. UnitedHealthcare to stop sending paper…

100K members in limbo as BCBS, Memorial Hermann split | Cerner CEO joins Humana board | UnitedHealthcare axes paper prior auths | Cigna to buy back $6B in stock | Anthem must face suit over mental health coverage | The nurse shortage caveat

March 1, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare axes paper prior authorization, decision letters Full story 2. California's single payer failure dampens hopes for similar initiatives Full story 3. BCBS of Texas, Memorial Hermann…

Centene CEO to take medical leave | 17 'overpaid' healthcare chiefs | Physicians: ACO redesign is 'direct contracting in disguise' | The staffing story we still need to get right | Top 5 healthcare billionaires | The UnitedHealth-Change deal in 13 dates

February 25, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene CEO to take medical leave of absence  Full story 2. 17 'overpaid' healthcare CEOs  Full story 3. Physicians call ACO redesign 'direct contracting in disguise'  Full story 4. CMS has…

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