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Payer Issues

HHS sued over insurance price transparency rule | ProMedica can end rival's insurance contracts | UnitedHealthcare settles mental health case | COVID-19 cases peak in 3 states | Why a hospital bill from 1955 went viral

August 12, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. ProMedica can end rival's insurance contracts, court rules Full story 2. UnitedHealthcare settles mental health parity lawsuit Full story 3. 3 states record highest caseloads of pandemic & 6 other COVID-19…

Medicaid work rules out in 3 more states | UnitedHealthcare data used in influential surprise billing study | How vaccination rates are changing in each state | Sentara settles improper claims allegations

August 11, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS pulls Medicaid work rules in 3 more states Full story 2. Texas hospitals asked to postpone elective procedures, out-of-state workers recruited Full story 3. UnitedHealthcare data fuels,…

HCSC goes big on Medicare Advantage | Ascension Mich. settles false claims case | People go to great lengths for unauthorized boosters | How insurer profits changed in a year | CMS targets 'most favored nations' model

August 10, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Health Care Service Corp. announces biggest Medicare Advantage expansion to date Full story 2. Some Americans taking COVID-19 boosters into their own hands Full story 3. How health insurer profits…

Wash. system to sever contract with Premera Blue Cross | Optum's growth in 13 numbers | Ascension settles false claims allegations | 7 states account for half of COVID cases, hospitalizations | Lab countersues BCBS of Kansas City

August 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Washington health system to sever contract with Premera Blue Cross Full story 2. 13 numbers that show Optum's Q2 growth Full story 3. White House reports 'significant' rise…

OIG auditing Aetna MA plans | Cardiologist sentenced for 'fountain of youth' billing scam | ICU capacity strained in Ark., Miss. | Cigna's profit dips to $1.5B | Telehealth prices at 25 hospitals

August 5, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. OIG auditing Aetna's Medicare Advantage plans Full story 2. COVID-19 surge strains ICU capacity in Arkansas, Mississippi: 5 things to know Full story 3. Cardiologist gets 6.5 years…

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Aetna, CVS to enter ACA marketplace in 8 states | 7 ways this surge is different | PE firm creates value-based care co. | UnitedHealth consultants lose class certification in wage suit | US ranks last in healthcare

August 4, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Judge decertifies class in suit against UnitedHealth subsidiaries alleging underpayment of consultants Full story 2. 7 ways this COVID-19 surge is different Full story 3. Aetna, CVS to…

Pa. system sues insurer for $1B | CMS' inpatient payment rule: 7 notes | NPs get prison time for Medicare fraud | How Anthem, UnitedHealth + 3 payers fared in Q2 | Humana names new president

August 3, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Allegheny Health Network sues insurer for $1B Full story 2. CMS' final inpatient payment rule for 2022: 7 things to know Full story 3. 2 states account for…

Blue plans not 1 entity, providers argue | Fla. sees record high COVID-19 admissions | Viewpoint: 'Medicare for All' movement lost its punch | EmblemHealth CEO on being a provocateur for progress

July 29, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Blue plans not 1 entity, providers argue Full story 2. Daily COVID-19 admissions hit record high in Florida Full story 3. 'Medicare for All' movement has lost its punch, one…

Hospitals holding up Wash. state's public option, lawmakers say | Humana sues Regeneron over drug pricing | COVID-19 hospitalizations up in 47 states | NY insurance CEO: 'Healthcare is not a digital event'

July 28, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Why hasn't all of Washington state adopted its public-option program? Full story 2. Epic pays hospitals that use its EHR algorithms, report finds Full story 3. 47 states where…

CMMI: 4 conclusions after a decade of payment experiments | US News: 20 best hospitals + No. 1 by state | 'Medicare for All' rallies held in 50 cities | Cigna, MultiPlan ask judge to toss underpayment suit

July 27, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Florida physician sentenced in $20M healthcare fraud scheme Full story 2. No more 'letting 1,000 flowers bloom': 4 successes in Medicare innovation Full story 3. UF Health Jacksonville CEO…

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