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Payer Issues

Centene annual revenue: $126B | PBMs ranked by market share | CMS penalizes 38 top hospitals | Amazon to add clinics in 20 cities | Humana: 20 things to know | Nurse allegedly sets coworker on fire at NJ hospital | 6 best payer tools: KLAS

February 8, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene hits $126B in 2021 revenue, up 13%: 10 things to know Full story 2. PBMs ranked by market share: CVS Caremark is No. 1 Full story 3.…

OIG: Payer overcharged Medicare $54M | Kaiser Medi-Cal contract raises concerns | Pa. physician fired over ivermectin scripts | 9 CMS updates | Top health issue in all 50 states | UnitedHealth workers win class certification in 401(k) suit

February 4, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Kaiser Permanente's special California Medicaid contract raises concerns Full story 2. Viewpoint: At-home COVID-19 test coverage gives providers 'unchecked power' over payers Full story 3. SCAN…

UnitedHealthcare subpoenaed over data breach | CMS floats 8% rate boost for MA plans | Cigna's annual profit sinks 37% | Medicare to cover at-home COVID tests | Blue Shield of Calif. adds multinational finance exec to board | 10 exec resignations

February 3, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare subpoenaed over Rhode Island data breach Full story 2. Will BA.2 impact omicron forecasts? 3 modeling takeaways Full story 3. Despite revenue growth, Cigna year-end profit dips…

Humana's annual profit dips 27% | Union accuses HCA of Medicare fraud | UnitedHealthcare underpaid providers $23.9M for COVID vaccines | 6 'most admired' payers | An unexpected omicron symptom | DOJ recovers $5B from false claims

February 2, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Humana's 2021 net income dips 27%, sets $1B value creation goal Full story 2. Union accuses HCA of widespread Medicare fraud in 45-page report Full story 3. This…

Single-payer bill dies in Calif. | CMS cuts pay to 764 hospitals | GuideWell buys Puerto Rico insurer for $900M | Cigna taps president for US government unit | Judge extends Northside-Anthem contract | Omicron subvariant transmissibility: 4 findings

February 1, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. California universal healthcare bill dies before key vote Full story 2. Judge extends Northside-Anthem contract until April 15 Full story 3. GuideWell closes $900M Triple-S acquisition, brings enrollment…

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Aetna loses cancer coverage suit | How payers view MA market | 5 states set COVID hospitalization records | Health plans may be key to surviving labor woes | CHS owes fees in $98M fraud case | What happened to contact tracing?

January 28, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cancer patients win lawsuit against Aetna over denied treatment Full story 2. CHS owes fees in $98M fraud case, court rules Full story 3. Humana balked at…

Cigna discussed acquisition with Centene in '21 | 10 payer exec moves | Next variant could be more transmissible: WHO | Mich. seeks probe of Eli Lilly insulin costs | ACA sign-ups hit record | Payers: HHS gets air ambulance surprise-billing rule right

January 27, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna discussed potential acquisition with Centene in late 2021 Full story 2. Next variant could be more transmissible than omicron, WHO says Full story 3. Pharmacist gets 5-year…

Anthem commercial growth flounders | SSM Health warns of insurance scam | Person shot in NY hospital ED | Mass. system ordered to curb costs | Biden explores Medicare coverage of at-home COVID tests | 113 great healthcare leaders

January 26, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem operating gain hits $7.5B, but commercial growth flounders: 10 things to know Full story 2. Callers pretend to be SSM Health in latest insurance scam Full story…

Change mulls asset sale to aid UnitedHealth deal | BCBS names CISO | Payers fall short on mental health parity: Labor Department | Omicron subvariant found: 8 notes | Anthem, Northside dispute broadens | 27 meds with prices slashed at Mark Cuban's co.

January 25, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Change Healthcare possibly weighing sale of assets ahead of UnitedHealth deal Full story 2. BCBS Association names chief information security officer Full story 3. Labor Department makes mental…

Hospital market power boosts insurance cost: CBO | BCBS of Kansas City hit with antitrust claims | US nearing omicron peak | How 13 payers handle at-home COVID test reimbursement | Does virtual care save money?

January 21, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. How 13 payers are handling at-home COVID-19 test reimbursement Full story 2. US nearing omicron peak, Mayo Clinic model shows Full story 3. Market power of physicians, hospitals…

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