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Payer Issues

Centene buys Magellan for $2.2B | Ex-Aetna CEO to co-lead hedge fund | Court orders Anthem to keep 400,000 hospital patients in-network until Feb. 1 | HHS floats rule for ACA plans | New variant found in France | No Surprises Act is in effect: 9 details

January 4, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. HHS proposal prioritizes ACA plan comparison, health equity: 5 things to know Full story 2. Former Aetna exec named co-CEO of world's largest hedge fund Full story 3.…

10 states COVID may hit hardest by NYE | 20 things to know about UnitedHealth | Lawmakers want Summa Health deemed 'distressed' | Anthem to acquire Medicaid contract | Nonprofit hospitals in these 10 states report lowest expenses | Tenet closes $1.1B deal

December 23, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 20 things to know about UnitedHealth Group  Full story 2. Record-setting 13.6 million people will be covered by ACA plans  Full story 3. 10 states COVID-19 could hit hardest by NYE:…

8 hospitals flagged for billing errors | 5 recent payer disputes | Omicron no less severe than delta: study | Feds approve Ark. Medicaid expansion overhaul | 20 things to know about Centene | 12 hospital bankruptcies, closures | Booster rates by state

December 22, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 8 hospitals flagged by HHS for billing errors this year  Full story 2. Omicron infections no less severe than delta, early study suggests  Full story  3. 20 things to know…

Biden's plan to fight omicron: 5 details | Payers issued $2B in premium rebates | IU Health freezes prices | 3 insurers penalized for health parity violations | FBI investigates vaccinations at hospital CEO's church | Anthem, Memorial Health ink contract

December 21, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden's plan to fight omicron: 5 things to know  Full story 2. Payers issued $2B in 2020 premium rebates, CMS finds  Full story 3. Nonprofit hospitals in these 10 states report…

Hospital CEO: Virtual plans bring out the worst in healthcare | Calif. physician guilty in $355M billing scheme | States where COVID hospitalizations cost most, least | Oracle nears $30B deal for Cerner | Ore. Health Plan tagged for improper billing

December 17, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Hospital CEO: Virtual plans can accentuate the worst in healthcare  Full story 2. California physician found guilty in $355M billing fraud scheme  Full story 3. States where COVID-19 hospitalizations cost the…

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Cigna adds former Citigroup exec | Optum extends $13B merger deadline | 4 most common omicron symptoms | AHA, AMA gain support in battle over surprise-billing rule | CMS vaccine mandate revived in 26 states | Amazon taps health leader

December 16, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna taps former Citigroup exec as head of investor relations  Full story 2. 4 most common symptoms of omicron variant  Full story 3. Optum sets April timeline for $13B Change Healthcare…

79 payer C-suite moves | Texas hospital's Medicare contract in jeopardy | Scripps' EHR automates price markups | Omicron spread: CDC, WHO updates | Meet Centene's incoming board members | 8 called-off hospital deals

December 15, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Texas hospital's Medicare contract in jeopardy over threats to patient safety  Full story 2. 79 C-suite moves from payers during 2021  Full story 3. Scripps' Epic EHR automates supply price markups…

Centene CEO to retire | Man charged in $38M UnitedHealth, BCBS false claims scheme | HHS sends $9B to providers | TeamHealth CEO discusses payment litigation | Vt. mandates at-home COVID test coverage | US medical debt: 11 numbers to know

December 14, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene CEO to retire amid board overhaul  Full story 2. Florida man charged in $38M UnitedHealth, BCBS false claims scheme  Full story 3. 46 top hospitals, ranked by Leapfrog  Full story 4. Healthcare…

5 payers tagged for coding, reimbursement errors | 6 states set COVID records | Anthem JV launches virtual primary care nationwide | Hospitals sue feds over surprising-billing rule | Senate votes to avert Medicare cuts | 8 top children's hospitals

December 10, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem joint venture launches virtual primary care nationwide  Full story 2. 5 payers tagged by OIG for coding, reimbursement errors in 2021  Full story 3. 6 states set COVID-19 records this…

CMS delays payer data exchange requirements | 9 hospitals laying off workers | Oscar adds 1,300 providers to network | The healthiest, unhealthiest states | CareSource, TrueCare forge alliance | How much hospitals charge for COVID vaccines in each state

December 9, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS delays payer data exchange rule enforcement  Full story 2. 9 hospitals laying off workers  Full story 3. Oscar Health adds over 1,300 Temple Health providers to network  Full story 4.…

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