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Payer Issues

Cigna names digital chief | Jury: UnitedHealth owes TeamHealth $60M | 72 top teaching hospitals | Mo., Okla. see split results after expanding Medicaid | Ill. hospital CEO uncovers potential misappropriation of funds | House votes to avert Medicare cuts

December 8, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna names chief digital officer  Full story 2. Jury awards TeamHealth $60M in punitive damages from UnitedHealth  Full story 3. Illinois hospital CEO uncovers potential misappropriation of funds by former executive  Full…

Centene pays $27.6M to settle drug overbilling claims | Payers fear COVID test price gouging | Humana Foundation names CEO | Calif. hospital plans 677 layoffs | 5 states set COVID records | Trinity doubles operating income on health plan sale

December 7, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene to pay Kansas $27.6M to settle drug overbilling allegations  Full story  2. California hospital plans for 677 layoffs  Full story 3. Humana Foundation names CEO  Full story 4. 2021…

UnitedHealthcare, Optum to step up collaboration | 2 top Humana execs get new roles | 73 hospital closures, state by state | Hospitals fail to stop Medicare cuts | BCBS of Mass. commits $25M to address health disparities

December 3, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group prioritizes marrying health insurance, Optum offerings  Full story 2. State-by-state breakdown of 73 hospital closures  Full story 3. Daily COVID-19 cases at 2021 high in Wisconsin, Illinois  Full story 4. Healthcare…

Biden plan requires insurers to pay for at-home COVID tests | Texas hospital inks $18.2M false claims settlement | Cigna, HCA expand partnership | NY systems make 4 C-suite changes | AMA: Allowing Medicare cuts would be 'reckless'

December 2, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden plan requires payers to reimburse over-the-counter COVID-19 tests  Full story 2. Texas hospital will pay $18.2M to settle false claims case  Full story  3. Cigna broadens Florida reach with…

The worst COVID hot spot in the US | Payers respond to rising mental health concerns | 9 health systems with strong finances | CMS vaccine rule blocked nationwide | HCA hospital keeps Medicare contract after corrections | Point32Health names 2 execs

December 1, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. This state just passed Michigan as having most COVID-19 cases per capita  Full story 2. UnitedHealthcare owes Florida providers $4.7M, arbitrators say  Full story 3. 9 health systems with strong finances  Full…

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Medicare payment rule baffles Supreme Court | UnitedHealth names CMO, expects at least $317B in revenue next year | Healthcare worker vaccine rule blocked in 10 states | Independence Blue Cross, Penn Med expand contract | HCA to add 3 hospitals

November 30, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Supreme Court justices baffled by Medicare payment rule  Full story 2. UnitedHealth Group names new CMO  Full story 3. UnitedHealth Group announces optimistic year end, 2022 outlook  Full story 4. Healthcare organizations…

Higher penalties won't sway all hospitals to post prices | 20 states with most, least expensive premiums | Ex-Calif. hospital execs must face charges | Oscar, Stride Health partner | Viewpoint: Don't demonize healthcare execs over profits

November 26, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Former California hospital executives must face criminal charges, judge rules  Full story 2. 20 states with most, least expensive 2022 monthly average premiums  Full story 3. Higher penalties for undisclosed prices…

Houston hospital set to lose Medicare contract | Oscar, Emory partner on health plan | Feds ask court to reinstate vaccine-or-test rule | 20% of large businesses consider hiking premiums for unvaccinated workers | Surprise healthcare billing: 4 notes

November 24, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Houston hospital slated to lose Medicare contract  Full story 2. 20% of large businesses considering premium hikes for unvaccinated workers  Full story 3. Feds ask court to reinstate vaccine-or-test rule for…

BCBS of NC accused of abusing surprise billing ban | HCA defeats billing fraud claims | Humana, Allina ink value-based deal | HHS sends $7.5B to providers | Fauci's holiday guidance as COVID cases climb

November 23, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. HCA defeats billing fraud claims  Full story 2. Humana, Allina Health forge value-based agreement  Full story 3. Excellus raises minimum wage for 4,000 workers  Full story 4. Reach for the stars! Apixio whitepaper…

Insurers balk at paying for Aduhelm | Highmark CEO elected AHIP board chair | Physician sentenced for defrauding insurers of $29M | House passes $1.7T spending bill: 6 healthcare notes | Calif. hospital to lay off 328

November 19, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Insurers won't pay for Aduhelm until they know it works  Full story 2. Highmark Health CEO elected board chair of America's Health Insurance Plans  Full story 3. House passes $1.7 trillion…

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