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Payer Issues

BCBS insurers reach tentative $2.7B deal in antitrust case | Trump preparing healthcare exec orders | Sam's Club launches $1 telehealth visits | CVS accused of patient steering

September 24, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. BCBS insurers reach tentative $2.7B deal over antitrust case Full story 2. Sam's Club launches $1 telehealth visits for members: 7 details Full story 3. Trump preparing healthcare executive…

Independence CEO to retire | UnitedHealth accused of illegally deflating payments | Medicare won't cover COVID-19 vaccines approved under emergency use authorization | 10 states where private insurers pay most, least relative to Medicare

September 23, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Independence Health Group CEO to retire Full story 2. UnitedHealth accused of illegally deflating reimbursements Full story 3. Pennsylvania physician pays $1.2M to settle billing fraud allegations Full story 4. What does…

BCBS of Mich. offers 8,500+ workers buyouts | CDC reverses guidance on COVID-19 airborne spread | CMS: Vermont's all-payer model underperforming | BCBS Assoc. sues investment firm over $2B loss

September 22, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. BCBS of Michigan offers buyouts to 8,500+ employees Full story 2. Atlantic Health System, Horizon say tying payments to outcomes lowered costs 5% Full story 3. Daily COVID-19 stats, state-by-state:…

When telehealth cost-sharing waivers end for 5 payers | 3 notes on CMS' emergency care payment model | CVS doubles COVID-19 testing sites | 4 new hospital-insurer partnerships

September 17, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. When telehealth cost-sharing waivers expire for 5 payers Full story 2. 3 things to know about the new CMS emergency care payment model Full story 3. Daily COVID-19 stats,…

MedStar, CareFirst: New partnership to curb costs by $400M | Cigna rebrands health services unit | Physician shot outside Minn. hospital | States ranked by infant mortality rate | 4 insurers expanding ACA marketplace footprint

September 16, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. MedStar, CareFirst: New partnership to curb costs by $400M Full story 2. Physician shot outside Minnesota hospital Full story 3. Daily COVID-19 stats, state-by-state: Where the virus is spreading fastest, slowest…

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CMS pitches Medicare Advantage + Part D changes, scraps Medicaid accountability rule | NJ's newest insurer run by Hackensack, RWJBarnabas, Horizon | Former military health director joins Humana's board | 10 ACOs with most shared savings

September 15, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS proposes payment changes to Medicare Advantage, Part D: 5 things to know Full story 2. OIG tags Baylor Scott & White hospital for billing errors Full story 3. Daily COVID-19 stats,…

Humana launches heart, shoulder payment models | Ill. nurse practitioner pleads guilty to Medicare fraud | 9 payer exec moves | Cigna expands to 80 counties | 8 hospital closures

September 10, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Humana launches heart, shoulder payment models: 6 things to know Full story 2. West Virginia hospital settles whistleblower suit for $50M Full story 3. Daily COVID-19 stats, state-by-state: Number of patients…

Cambia CEO to retire | Anthem, Calif. hospital clash over contract | Urgent care network settles billing fraud case | 8 fastest-growing healthcare jobs + wages | How US News' best hospitals for cancer care improve outcomes

September 9, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cambia Health Solutions' longtime CEO to retire Full story 2. 8 healthcare jobs with most growth through 2029 + wages Full story 3. Daily COVID-19 stats, state-by-state Where the…

Physician quits over $11K COVID-19 test | Independence Blue Cross settles false claims allegations | Tyson Foods to pilot medical clinics | OIG tags Ariz. hospital for erroneous billing

September 8, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Physician quits after his employer charged $11K for COVID-19 antibody test Full story 2. More than half a million healthcare workers don't have health insurance Full story 3. Daily COVID-19…

CMS' final inpatient rule for 2021: 7 things to know | TeamHealth: 127 affiliated physicians out of Centene's network | 50 states ranked from healthiest to unhealthiest | Dignity, Cigna reach agreement after 9 months

September 3, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 127 affiliated physicians will no longer be in Centene's network, TeamHealth says Full story 2. CMS' final inpatient payment rule for 2021: 7 things to know Full story…

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