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Payer Issues

Ransomware hit exposes Anthem, Humana members' info | Oscar partners with 3 Colo. systems | Texas nurse found guilty of killing 4 patients | OIG: TennCare may owe $400M | Vaccine-driven turnover at 32 systems | 4 health insurance leaders' goals for '22

October 21, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. PHI stolen from vendor in ransomware attack, exposing Humana and Anthem members  Full story 2. Former Texas hospital nurse convicted in capital murder of 4 patients  Full story 3. Oscar Health…

OIG: UnitedHealth top recipient of questionable payments | COVID hospitalization charges by state | Kaiser workers rebel against new wage system | Anthem Q3 profit up 580% | Blue Shield of Calif., Google Cloud team up

October 20, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. OIG: UnitedHealth received most of questionable Medicare payments  Full story 2. Average charge for COVID-19 hospitalization, by state  Full story 3. Kaiser workers rebel against new wage system: 5 things to…

UnitedHealthcare launches virtual-first plan | 8 payers ranked by customer satisfaction | Provider sued after Medicare freeze | Walmart enters self-insured market | 4 states overwhelmed by COVID hospitalizations | 26 exec moves | EmblemHealth lays off 89

October 19, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare launches virtual-first health plan  Full story 2. 8 payers ranked by customer satisfaction  Full story 3. BCBS without nationwide mandate as Kansas affiliate requires employees get vaccinated  Full story 4. True interoperability…

Payers lean into virtual-first plans | COVID test kits recalled | Best Medicare Advantage plans: US News | 4 hospital bankruptcies | Medicare rule has AHIP concerned | CMS asks 32 hospitals for price-posting plans | Medicare open enrollment: 5 notes

October 15, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. US News names best Medicare Advantage plans for 2022  Full story 2. Payers expand virtual-first plans to deliver lower premiums, accessible care  Full story 3. CMS requests corrective action plan from…

UnitedHealth Q3 profit tops $4B | Viewpoint: Downcoding a 'revenue grab' by insurers | Anxiety, depression rates by state | Surprise billing rule could slow premium growth | Pa. hospital must face overpayment suit | EHRs can predict physician exits

October 14, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Double-digit growth dots UnitedHealth Q3 results: 10 things to know  Full story 2. Downcoding, delayed payments a 'revenue grab' by insurers, physician says  Full story 3. States ranked by anxiety, depression…

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Viewpoint: Medicare Advantage is 'money machine' for payers | Cigna ranked among world's best employers | UPMC defends billing in battle with feds | Why an $8.5B system partnered with Optum | Unvaccinated healthcare workers demand jobs back in Texas

October 13, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Former CMS administrator: Medicare Advantage is a 'money machine'  Full story 2. Cigna named to Forbes' best employers in the world  Full story 3. UPMC defends billing, surgery practices in…

Physicians urge feds to investigate UnitedHealth | 10 highest-paid health insurance CEOs | Northwell shifts to direct contracting for employee insurance | 11 hospital closures | DOJ to join $800M suit against Tenn. system | Ochsner launches health plan

October 12, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Northwell shifting staff to direct contracting model  Full story 2. Anesthesiologists accuse UnitedHealth of anti-competitive actions  Full story 3. 10 highest-paid payer CEOs in 2020  Full story 4. Patient growth is in your…

Cigna inks $5.7B divestiture deal | Humana hires CMO for primary care business | Former healthcare exec sentenced for $59M fraud | CMS releases Medicare Advantage star ratings: 8 notes | BCBS of Tenn. fires unvaccinated workers

October 8, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Humana's Primary Care Organization names CMO  Full story 2. Cigna, Chubb sign $5.75B deal for insurance businesses in 7 countries  Full story 3. Ex-president of healthcare management firm sentenced in $59M…

Optum teams up with SSM | Ex-UnitedHealth leader lands role at Walmart | 15 wealthiest people in healthcare | 11 hospitals hit with credit downgrades | Teladoc rolls out virtual care service for payers | 10 most trusted system brands

October 7, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Optum, SSM Health announce broad collaboration targeting care, affordability  Full story 2. Walmart taps former UnitedHealth leader as new health, wellness exec  Full story 3. Anthem sued for alleged air ambulance…

Anthem shakes up leadership | UnitedHealth to require COVID-19 vaccinations | NY suspends prior auths | Suspect in Pa. hospital shooting charged with murder | Kaiser puts 2,200 workers on leave | CMS overpaid $636M for neurostimulator surgeries: OIG

October 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem shakes up leadership team  Full story 2. UnitedHealth Group issues COVID-19 vaccination requirement  Full story 3. Kaiser suspends 2,200 unvaccinated employees  Full story 4. Virtual healthcare is positioned to address social determinants.…

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