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Payer Issues

BCBS of Tenn., CHI Memorial hit contract impasse | Telehealth costs at Amazon, Walmart, Walgreens, CVS | 3 states tied to 40% of COVID-19 cases | BCBS of Kansas City sues lab, alleging inflated claims

July 23, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. BCBS of Tennessee, CHI Memorial at contract impasse Full story 2. 3 states responsible for 40% of COVID-19 cases Full story 3. Humana, Centene opioid recovery drug suits dismissed Full story 4. All…

Mo. Medicaid expansion upheld | BCBS of SC, feds settle discrimination allegations | 18 systems with strong finances | Cigna, Oscar tag team virtual primary care | Medicaid coverage gap a payers' boon

July 22, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. BCBS of South Carolina strikes agreement with feds over alleged hiring discrimination Full story  2. Missouri Supreme Court rules in favor of Medicaid expansion Full story 3. 18 health systems…

Anthem, Dignity end contract | Healthcare consolidation 'warrants being looked at': AHIP CEO | UnitedHealthcare CMO departs | 44 states with rising COVID-19 hospitalizations | Centene CEO: What would make us stay in Mo.

July 21, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Dignity Health, Anthem end contract Full story 2. 44 states where COVID-19 hospitalizations are rising: July 21 Full story 3. Healthcare consolidation 'warrants being looked at,' AHIP CEO…

UnitedHealth CEO: Get used to lower ER use | CMS' outpatient payment rule for '22: 7 notes | 10 states with highest COVID-19 case increases | Prime, 2 physicians settle false claims case | Clover CEO clears air

July 20, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. ER usage could see permanent drop due to COVID-19, UnitedHealth CEO says Full story 2. CMS proposed outpatient payment rule for 2022: 7 things to know Full story 3. 10 states…

Hospitals blast UnitedHealth profits | Why this insurance CEO thinks big healthcare brands are losing significance | Mo. governor, Mercy execs clash | Centene restructures leadership

July 16, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Hospitals blast UnitedHealth profits Full story 2. Missouri governor clashes with hospital execs over vaccine mandates Full story 3. Kaiser CFO's advice to healthcare leaders: 'Get comfortable with being uncomfortable' Full story…

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Anthem, Kroger team up for Medicare plans | UnitedHealth's profit slips | Aetna drops $50M overbilling suit against Mednax | 8 employers to watch in direct contracting | Top 25 places to live

July 15, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth's profit slips 36% in Q2: 7 things to know Full story 2. Johns Hopkins study of 1.9 million COVID-19 cases links severity with blood types + more Full…

New CMS rule would update Medicare shared savings, telehealth coverage | Where COVID-19 cases are up 404% | Why Calif. physicians want Aetna case reviewed | Aduhelm gets a no from more private payers

July 14, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS pitches physician payment rule for 2022: 9 things to know Full story 2. Eyes on Tennessee: COVID-19 cases up 404% in 2 weeks Full story 3. 6 BCBS affiliates…

Humana quietly funding clinics | Physician sentenced for defrauding 3 insurers | Hospitals call Biden EO 'misguided' | Medicare starts Aduhelm coverage review | Cigna wins out on NFL claim suit

July 13, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Physician sentenced for defrauding 3 insurance companies out of $17M Full story 2. Humana quietly funded 40 Iora primary care clinics Full story 3. 'Best of intentions can be…

Biden EO calls out health insurer consolidation | 15 best, worst states for retirement | Trinity may sell stake in Medicaid plan to Highmark | CMS' 2022 payment rules: 21 notes | BCBS of RI CMO heads to Olympics

July 9, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden zeros in on healthcare competition in executive order: 10 notes Full story 2. Analysts say UnitedHealth's earnings will decline in Q2 Full story 3. At current rate, 70% of adults…

Aetna cataract policy draws physician backlash | Lab CEO charged in $86M Medicare billing scheme | RIP 'Uber of healthcare' | Biden to target noncompetes | Humana downsizes in Wis.

July 8, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Physicians push back against new Aetna cataract surgery policy Full story 2. Biden to target noncompete clauses in exec order Full story 3. Tennessee lab CEO charged in $86M…

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