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Payer Issues

UnitedHealth to battle DOJ over $13B Change deal | 15 best, worst cities for jobs | 5 payer exec moves | Judge rejects HHS surprise billing rule | BCBS of Tenn. joins innovation alliance | Patients are coming after hospital prices

February 24, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Justice Department sues to block $13B UnitedHealth, Change deal  Full story 2. The 15 best, worst cities for jobs in 2022  Full story 3. 5 recent payer executive moves  Full story 4.…

Anthem BCBS payment delays linger | $80K bill highlights No Surprises Act loophole | DOJ has until Feb. 27 to block UnitedHealth-Change deal | Blue Shield exec: Patients expected Sutter contracts | 9 healthcare billing fraud cases

February 23, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. New parents' $80K medical bill showcases No Surprises Act loophole Full story 2. As Kansas' $3.9B Medicaid contract enters legislative limbo, 3 payers watch carefully Full story 3.…

Humana targets board refresh | State of single-payer proposals in 21 states | Meet Cigna's C-suite | BCBS affiliate sues Jazz Pharmaceuticals over 'gobsmacking' drug price | 29 burned out specialties, ranked

February 22, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. BCBS affiliate hits Jazz Pharmaceuticals with antitrust lawsuit Full story 2. Mark Cuban is ready to buck healthcare's status quo Full story 3. Humana to add two directors…

UnitedHealth taps 1st sustainability chief | 'Big 6' payers: 60 facts | 453 hospitals at risk of closure | OIG flags coding errors at Tufts Health Plan | 5 legal actions involving payers | Fla. health plan looks to speed prior auths by 10 days

February 18, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group names first chief sustainability officer Full story 2. Staffing crisis, payment cuts put 453 hospitals at risk of closure Full story 3. OIG: Tufts Health Plan…

BCBS of La. must face antitrust suit | Mayo: Out-of-network appointment ban not about money | 7 payer exec moves | 'Junk' health plans thrust into limelight | AHIP: Hospitals charge double specialty pharmacy rates for same drugs

February 17, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. BCBS of Louisiana to face antitrust suit over rates Full story 2. CDC to update mask guidance Full story 3. Mayo Clinic: UnitedHealthcare appointment denials are capacity, not…

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'Big 6' payers ranked by profit | Ill. hospital loses Medicare funding | Bright HealthCare CEO to resign | Fla. physician convicted of $110M billing fraud | Priority Health reports data breach | Omicron subvariant in 47 states: 5 updates

February 16, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Bright HealthCare CEO to resign Full story 2. A layoff list, expired medicine, neglected patients: Illinois hospital loses Medicare contract Full story 3. 'Big 6' payers ranked by…

2 health systems buy stake in W.Va. payer | Payers forced into Sutter contracts, former Blue Shield exec testifies | Mayo bars some out-of-network appointments | 6 payers ranked by MA enrollment | America's untapped COVID strategy

February 15, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Mayo Clinic blocks out-of-network appointments for MA beneficiaries amid UnitedHealthcare negotiations Full story 2. America's untapped COVID-19 strategy Full story 3. 2 health systems buy ownership stake in…

Aetna loses mental health coverage suit | 6 payers ranked by membership | Miss. moves to end Centene's Medicaid contract | Lab owner sentenced for submitting $42M in fraudulent claims to UnitedHealthcare | 6 medical bills making headlines

February 11, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Aetna loses court battle over 'all or nothing' mental health coverage Full story 2. Life expectancy by state: CDC Full story 3. 'Big 6' payer membership by the…

'Big 6' payers ranked by '21 revenue | Layoffs hit Pa. system | Biden to remove state Medicaid fees | 96,694 hospitalized with COVID | 810 drugs saw price hikes in 1 mo. | Members forgo reimbursement for at-home COVID tests

February 10, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'Big 6' payers ranked by 2021 revenue Full story 2. US COVID-19 hospitalizations drop below 100,000 — 3 states where they're still rising Full story 3. Biden…

Blue Cross CFO joins Providence board | Meet UnitedHealth's C-suite | Omicron found in deer | Aetna's annual revenue: $82B | Mich. surgeon guilty of $19M billing fraud | NM payer sued over 63K member data breach | Medi-Cal suspends prior auths for drugs

February 9, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Blue Cross CFO, former Nike exec join Providence board Full story 2. New Mexico payer sued over 63,000 member data breach Full story 3. CVS Health year-end revenue…

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