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Payer Issues

UnitedHealthcare's ER policy violates patient protection laws, physicians say | COVID-19 cases up in 17 states | Medicare has new director | Beaumont-Spectrum merger could spark tougher payer negotiations

July 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare ER policy challenges patient protection laws, physicians say Full story 2. Amid rising COVID-19 cases, delta variant & July 4 collision has some experts 'very concerned' Full…

BCBS Association innovation chief: 2 things that need to change | DOJ targets EHR false claims | Healthcare spending per capita, by state | 6 payer CEOs on AHIP's board | Cigna gets win in NJ lab lawsuit

July 2, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. BCBSA chief innovation officer on transforming healthcare one step at a time Full story 2. How much each state spends per capita on healthcare Full story 3.…

Aetna, Mednax stuck in contract dispute | Humana Foundation CEO resigns | Delta strain now most common | 25 healthiest communities | Conn. physician to pay $15M in billing case | Okla. 37th state to expand Medicaid

July 1, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Humana Foundation CEO steps down Full story 2. CVS Aetna, Mednax patients could see rise in care costs due to contract dispute Full story 3. Delta…

Kaiser, Molina, HealthNet accused of running 'ghost networks' | Medicaid waiver puts $1.1B in limbo for Dallas hospitals | 5 top insurers: Forrester | Former CMMI chief starts healthcare venture | Anthem buys Puerto Rico's largest MA plan

June 30, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'It'd be catastrophic': Dallas-area hospitals could lose $1.1B annually without Medicaid waiver, healthcare group warns Full story 2. Kaiser, Molina, HealthNet accused of running 'ghost networks' in…

CMS pitches ACA enrollment, home health changes | Physicians trump Molina in court | 25 best places for healthcare access | UnitedHealthcare, Ga. hospital clash over contract | Why John Oliver is targeting cost-sharing ministries

June 29, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden pitches changes to ACA plan enrollment: 5 things to know Full story 2. COVID-19 is still delaying surgeries, even as cases die down. Here's why Full…

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Biden eyes major Medicaid expansion, halts work rules in 2 states | UnitedHealthcare, Calif. physicians at odds over COVID-19 test payments | Aetna-Optum 'dummy code' lawsuit revived | Zing to acquire Pa. insurer

June 25, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden administration allegedly planning substantial Medicaid expansion Full story 2. Nebraska hospital to close Full story 3. UnitedHealthcare to increase COVID-19 test payments in California, but physicians…

Mass. insurer threatens Aduhelm coverage | Cigna to give members $500 to switch drugs | Mo. Medicaid expansion struck down | COVID-19 hotspots emerge | Humana expands in NC | Express Scripts sues US for $43M

June 24, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Point32Health challenges Aduhelm, threatens coverage for 1.1M members Full story 2. Cigna to give members $500 to switch arthritis drugs Full story 3. Physicians target Palomar Health leadership in…

UnitedHealth to bring workers back to office | Humana updates imaging policy | Mayo physician fired after penning book with confidential info | Centene's 2nd HQ: 6 updates | Glassdoor names 17 healthcare cos. best places to work

June 23, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth to bring employees back to office Full story 2. 5 BCBS plans back pharmacy startup Full story 3. Mayo physician fired after publishing book critiquing system's…

SCOTUS snubs insurers' ACA reimbursement case | RI hospital may lose accreditation | HCA trauma fees 10x higher than some rivals | How members ranked 9 Medicare Advantage plans | Why some pharmacies don't take insurance

June 22, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. US Supreme Court declines insurers' bid for ACA reimbursements Full story 2. Delta variant likely to become dominant in US within weeks; may see July COVID-19 surges…

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