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Payer Issues

Viewpoint: Medicare Advantage is 'money machine' for payers | Cigna ranked among world's best employers | UPMC defends billing in battle with feds | Why an $8.5B system partnered with Optum | Unvaccinated healthcare workers demand jobs back in Texas

October 13, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Former CMS administrator: Medicare Advantage is a 'money machine'  Full story 2. Cigna named to Forbes' best employers in the world  Full story 3. UPMC defends billing, surgery practices in…

Physicians urge feds to investigate UnitedHealth | 10 highest-paid health insurance CEOs | Northwell shifts to direct contracting for employee insurance | 11 hospital closures | DOJ to join $800M suit against Tenn. system | Ochsner launches health plan

October 12, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Northwell shifting staff to direct contracting model  Full story 2. Anesthesiologists accuse UnitedHealth of anti-competitive actions  Full story 3. 10 highest-paid payer CEOs in 2020  Full story 4. Patient growth is in your…

Cigna inks $5.7B divestiture deal | Humana hires CMO for primary care business | Former healthcare exec sentenced for $59M fraud | CMS releases Medicare Advantage star ratings: 8 notes | BCBS of Tenn. fires unvaccinated workers

October 8, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Humana's Primary Care Organization names CMO  Full story 2. Cigna, Chubb sign $5.75B deal for insurance businesses in 7 countries  Full story 3. Ex-president of healthcare management firm sentenced in $59M…

Optum teams up with SSM | Ex-UnitedHealth leader lands role at Walmart | 15 wealthiest people in healthcare | 11 hospitals hit with credit downgrades | Teladoc rolls out virtual care service for payers | 10 most trusted system brands

October 7, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Optum, SSM Health announce broad collaboration targeting care, affordability  Full story 2. Walmart taps former UnitedHealth leader as new health, wellness exec  Full story 3. Anthem sued for alleged air ambulance…

Anthem shakes up leadership | UnitedHealth to require COVID-19 vaccinations | NY suspends prior auths | Suspect in Pa. hospital shooting charged with murder | Kaiser puts 2,200 workers on leave | CMS overpaid $636M for neurostimulator surgeries: OIG

October 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem shakes up leadership team  Full story 2. UnitedHealth Group issues COVID-19 vaccination requirement  Full story 3. Kaiser suspends 2,200 unvaccinated employees  Full story 4. Virtual healthcare is positioned to address social determinants.…

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CMS' surprise-billing rule is 'underserved gift' to payers: AMA | Merck's antiviral pill cuts COVID hospitalizations | Centene settles 2 payment disputes | UnitedHealth keeps Medicare Advantage dominance | Ochsner workers charged for unvaccinated partners

October 1, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Louisiana health system issues $200 monthly premium to employees with unvaccinated partners Full story 2. Centene settles with Arkansas, Illinois over alleged overpayments Full story 3. UnitedHealthcare maintains…

UnitedHealthcare, Wellstar hit contract impasse | MA premiums to dip in 2022: CMS | Death allegedly linked to cyberattack on Ala. hospital | SDOH missing in nearly 99% of Medicare claims: study | No Surprises Act: 12 things to know

September 30, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare, Wellstar contract dispute leaves 80,000 at risk of losing in-network coverage Full story 2. Physicians failing to track social determinants of health in Medicare patients, study…

Walmart Health struggles to bill payers | Humana reaches $11M settlement with nurses | WellCare partners with Carolina Panthers | CEO, COO exits prompt concern at Colo. system | Health insurance markets increasingly concentrated: AMA

September 29, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Walmart Health employees report hurdles with billing payers, patients overpaying  Full story 2. Health insurance market grows increasingly concentrated, report says: 7 things to know  Full story 3. Colorado health system…

Centene exec resigns | Pa. hospital to close | UnitedHealth develops calculator for COVID testing programs | Humana sues Biogen | Intermountain moves into flat-priced imaging | 2 largest nonprofit systems see finances bounce back

September 28, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene executive resigns: 4 things to know  Full story 2. UnitedHealth develops calculator to simulate COVID-19 testing programs  Full story 3. Tower Health to close 1 hospital, sell another Full story…

UnitedHealth teams up with Apple | Why 3 hospital bills went viral this year | Humana, Centene sue Merck over alleged price inflation scheme | 9 hospitals laying off workers | 94% of Californians insured, but many lack access to care

September 24, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene, Humana sue Merck over alleged 'monopolistic scheme' to inflate drug prices  Full story 2. 9 hospitals laying off workers  Full story 3. UnitedHealthcare, Apple offering free at-home fitness subscriptions to…

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