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Payer Issues

UnitedHealth, Cigna chiefs see pandemic's negative effects fading | UMass Memorial debuts insurance co. | Payer shares hit all-time highs | ProMedica insurer sues Ohio over managed Medicaid bids | Why several states are investigating PBMs

May 11, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth CEO: Most negative effects from pandemic will recede next year Full story 2. Cigna CEO says preventive care is back to pre-pandemic levels Full story 3.…

CMS ups antibody infusion payments | Hospitals get slap on wrist for price transparency failures | 5M Americans enrolled in Medicaid during pandemic, study finds | Walmart to bring telehealth nationwide

May 7, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS boosts Medicare payments for COVID-19 antibody infusions Full story 2. Hospitals get 1st CMS warning on price transparency failure Full story 3. Minnesota nurse reinstated after…

How CMS starred US News' 20 Honor Roll hospitals | UnitedHealthcare launches post-discharge program | What put Mission Health's Medicare contract at risk? | 1 in 6 workers stay at job for health insurance

May 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Mission Health nearly lost its Medicare contract last fall: What changes were enacted to keep it? Full story 2. Health insurer margins were stable in 2020, while…

Physicians want insurers to pay for COVID-19 gear in Calif. | Saint Francis, BCBS of Okla. negotiations stall | CMS' direct contracting model: 53 participants to know | Medicare spending goes up when physicians join hospitals: study

May 5, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. California physicians, dentists want payers to compensate for costs of COVID-19 gear Full story 2. Saint Francis Health System, BCBS of Oklahoma negotiations hit snag Full story…

UnitedHealthcare, Renown hit contract impasse | BCBS Assoc. cuts revenue rule that hampered competition | HHS to pay vaccine fees not covered by insurers | 10 hospitals that best avoid unnecessary care

May 4, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare, Renown at contract impasse over requested 16% price increase Full story 2. BCBS Association cuts rule that hampered competition Full story 3. HHS will pay for…

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CMS finalizes rules for CJR, marketplace plans | Judge throws out $8B Ky. Medicaid contracts | 199 hospitals with 1 star from CMS | Corporate America warms up to govn't healthcare | 25 payer exec moves

April 30, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS releases final rule on CJR model: 5 things to know Full story 2. CMS releases 2nd payment notice for 2022 coverage year: 5 things to know…

Parents on their kids' health plans? Calif. considers it | Fla. sues HHS for $97M in payments | All 455 of CMS' newly 5-starred hospitals | Anthem buys nursing co. | Texas lawmakers want Medicaid waiver back

April 29, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. California considers allowing adults to add parents to health insurance Full story 2. Florida sues HHS over $97M in denied Medicaid payments Full story 3. 455…

Medicare expansion could be win for employers | Humana's $5.7B home health deal: 5 details | CMS floats inpatient payment rule | Out-of-network bills more common for labs | BCBS Assoc. beats cancer coverage lawsuit

April 28, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Expanding Medicare eligibility would benefit employers, study says Full story 2. CMS' proposed inpatient payment rule for 2022: 8 things to know Full story 3. Humana to…

Insurers lift COVID-19 cost waivers | 4 healthcare execs sentenced in Medicare billing fraud | Revoked Medicaid waiver credit negative for Texas hospitals | IBM/Fortune's top 115 hospitals, health systems

April 27, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Insurers ending waivers on COVID-19 treatment fees Full story 2. 4 healthcare execs sentenced in $189M fraud scheme Full story 3. Cigna CEO sells over 6K shares…

Optum's plan to become a $100B giant + 10 notes on its growth | NC system sues insurer over $1.5B payout | UnitedHealthcare, Anthem + 4 payers expanding digital health strategies | Cigna to sell Texas Medicaid plans

April 23, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. How UnitedHealth plans to make Optum a $100B business  Full story  2. Optum's growth and operations in Q1: 10 numbers to know Full story 3. Molina Healthcare to…

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