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Payer Issues

CMS payment change for COVID-19 tests takes effect | Highest COVID-19 infection rates in world are in 3 states | 9 payer deals | Patients would pay $2,607 more for hospital with extra quality star | 5 top insurers, ranked by customers

January 7, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Medicare payment changes for COVID-19 tests take effect: 3 things to know Full story 2. 3 states have highest COVID-19 infection rates in world; UK variant in Pennsylvania —…

UnitedHealth's Optum to buy Change Healthcare in $13B deal | COVID-19 hospitalizations flare in South, West | Providers favored in arbitration decisions, study says | CEO of inpatient center admits to Medicaid billing fraud

January 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Optum to buy Change Healthcare in $13B deal: 5 details Full story 2. UK variant found in Georgia; COVID-19 hospitalizations flare in South, West — 6 updates Full…

UnitedHealthcare, Envision sever ties | Aetna gets partial win in cancer coverage case | Tufts Health Plan, Harvard Pilgrim merge | Cigna sells $6.3B nomedical unit | Centene to buy Magellan

January 5, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Envision, UnitedHealthcare break ties: 5 things to know Full story 2. UK variant detected in 4 states; COVID-19 hospitalizations hit record high — 5 updates Full story 3. Aetna gets partial…

Aetna pharmacy change affects 400K Ill. Medicaid members | COVID-19 variant found in 2nd state | Centene buys Pantherx | Record number of US workers calling in sick | 10 top payer stories this year

December 31, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Aetna pharmacy network change affects 400,000 Illinois Medicaid members Full story 2. 5 things we still don't know about COVID-19 Full story 3. Spoiled COVID-19 vaccine doses at Wisconsin hospital…

ProMedica blocked from ending insurance contracts | Hospitals must release payer negotiated rates | Biden expands COVID-19 response team | 29 payer exec moves | Montefiore, UnitedHealthcare hit impasse

December 30, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Hospitals lose appeal in price transparency case Full story 2. Biden taps 3 officials for COVID-19 response team; McConnell blocks bill for $2K stimulus checks — 7…

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Prime mailing error exposes data of Boeing health plan members | Duke, Geisinger sue HHS over Medicare payments | New to patients' paperwork: Binding arbitration agreements | BCBS of KC unit buys stake in value-based care co.

December 29, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Prime Therapeutics sends incorrect mailings to Boeing health plan members Full story 2. 2 million Americans have been vaccinated; House passes bill for $2K stimulus checks — 6 COVID-19…

485K+ Aetna, Blue Cross members affected by data breach | Horizon can restructure | COVID-19 data will wobble for next 10+ days: 5 notes | Trump commutes sentence for Fla. healthcare exec convicted of Medicare fraud

December 24, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Email hack exposes data of 485K+ Aetna, Blue Cross members Full story 2. COVID-19 patient killed by hospital roommate in California, police say Full story 3. Horizon can restructure:…

CMS issues final rule on value-based drug purchasing | Hospital staff reject COVID-19 vaccine | Trump wants changes to relief bill | Ambulances exempt from surprise-billing fix | 3 payers that launched virtual plans

December 23, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS issues final rule to promote value-based purchasing of drugs Full story 2. Staff at hospitals in DC, Texas turn down COVID-19 vaccine Full story 3. Trump requests changes to relief…

Calif. payer files for bankruptcy | Aetna sued over denied cancer therapy coverage | Fed'l COVID-19 relief: 10 notes | Texas hospital settles false claims suit for $48M | Oscar preps IPO

December 22, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. California health plan files for bankruptcy Full story 2. Hospitals grow tense over who gets vaccinated, how it's decided Full story 3. UK variant may already be in US, Fauci…

UnitedHealthcare, Intermountain launch ACO | COVID-19 hospitalizations triple Sept. numbers | Haven exec leaves for BCBS of Mass. | Home health owners charged in $10M billing scam | Highmark, Google Cloud sign 6-year deal

December 17, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Intermountain, UnitedHealthcare launch ACO Full story 2. Amazon wants to offer primary care to other employers, report says Full story 3. COVID-19 hospitalizations triple September numbers; Pfizer vaccine vials contain extra…

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