Payer Issues Archives - Page 115 of 177 - Becker's Payer Issues

Anthem threatens to end contract with Ga. system after 30 yrs. | Feds probe Oak Street Health | 41 'F' and straight-'A' hospitals: Leapfrog | Aetna faces whistleblower suit | Molina names NY plan president | Clover Q3 revenue up 153%

November 10, 2021 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Anthem, Atlanta system's year-end contract deadline could impact 400,000 Full story 2. Justice Department probing Oak Street Health for potential false claims violations Full story 3. Express Scripts allows health plans…

Memorial Hermann, BCBS swap termination notices | 10 most cost-efficient hospitals | Kaiser grows to 12.5M members as income sinks | UnitedHealthcare, Prisma hit contract snag | 5,400-physician network to unwind in Mich. | 6 payers' medical loss ratios

November 9, 2021 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Memorial Hermann Health System may soon be out of network with BCBS of Texas Full story 2. Kaiser net income drops to $1.6B in Q3 Full story 3. 10 most cost-efficient…

TeamHealth fires back at UnitedHealth | Investor with $900M stake wants Centene to refresh board | Healthcare affordability: Where does your state rank? | Cigna Q3 revenue: $44.3B | UPMC gains support in battle with feds

November 4, 2021 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. TeamHealth fires back at UnitedHealthcare: 4 things to know Full story 2. Healthcare affordability scorecard: Where does your state rank? Full story 3. Hedge fund with $900M stake pressures Centene…

Insurers accused of restricting $90B in payments | CMS drops 3 payment rules: 12 takeaways | Why are retirees delaying Social Security? | Humana Q3 revenue hits $20.7B | 5 top coding issues that result in denials | Centene's PBM: A timeline

November 3, 2021 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. CMS drops 3 final payment rules: 12 things to know Full story 2. Major payers accused of restricting $90B in provider payments Full story 3. 5 top coding issues that result…

Jefferson acquires insurer | 11 systems with strong finances | NY system halts strikers' health benefits | CEO resigns from Calif. hospitals | Geisinger settles billing fraud claims for $18.5M | Insurer withholding $10M in payments, lab alleges

November 2, 2021 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Jefferson Health acquires Pennsylvania HMO Full story 2. 11 health systems with strong finances Full story 3. Judge orders Cano Health to destroy Optum patient records Full story 4. The constant press for…

Cigna + 14 other fastest-growing healthcare cos. | 39 hospitals hit with max readmission penalties | Humana, Ochsner partner on mobile clinics | Top drivers of claim denials | Former BCBS Association exec joins AmeriHealth Caritas

October 29, 2021 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Cigna among 15 fastest-growing healthcare companies Full story 2. The 39 hospitals facing maximum Medicare readmission penalties Full story 3. AmeriHealth Caritas names former BCBS Association exec CFO Full story 4. Applying…

UnitedHealth sues TeamHealth, alleges $100M fraud | BCBS of Minn. names CEO | 2,499 hospitals dinged for high readmissions | Aetna to cover gene therapies | 6 updates on coronavirus variants | Cigna CEO: 3 trends to shape future of healthcare

October 28, 2021 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. UnitedHealthcare sues TeamHealth, alleges $100M fraud Full story 2. BCBS of Minnesota names president, CEO Full story 3. CMS penalizes 2,499 hospitals for high readmissions: 5 things to know Full story 4. Fraudulent…

DOJ: Kaiser defrauded Medicare of $1B | Centene to shake up drug benefit business | Cigna expands telehealth | States ranked by vaccine hesitancy | Stride gets $47M to bring benefits to gig workers | 5 payers adopt virtual-first models

October 27, 2021 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Kaiser defrauded Medicare of $1B, Justice Department alleges Full story 2. Health insurance premiums have grown at double the rate of hospital prices, AHA says Full story 3. Centene to restructure…

Anthem wants investigation of Sentara | 10 ZIP codes with highest uninsured rates | Aetna to shift to digital payments | FTC tightens reigns on merger control | Cigna, Houston hospital hit contract impasse

October 26, 2021 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Anthem asks regulators to probe Sentara after contract scuffle Full story 2. 10 ZIP codes with the highest uninsured rates Full story 3. Cigna, CHI St. Luke's stare down contract…

BCBS Association names 2 top execs | Ascension, AdventHealth to split | UnitedHealth to retroactively pay providers for vaccines | Ind. system must face false claims suit | Delta subtype found in US | Cigna expands Medicare Advantage plans

October 22, 2021 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. BCBS Association names pair of chief execs Full story 2. UnitedHealthcare to retroactively reimburse providers for COVID-19 vaccines Full story 3. Ascension, AdventHealth to unwind partnership Full story 4. It's the era of…