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Payer Issues

Cigna shakes up leadership | Mich. physician convicted in $100M scheme | BCBS of Mass. adds equity measures to payment models | Humana: Ex-CMO fired for inappropriate texts | 30 Ala. hospitals in jeopardy | CMS approves Clover Health's expansion

September 23, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna announces wave of executive moves  Full story 2. Michigan physician convicted in $100M healthcare fraud case  Full story  3. BCBS of Massachusetts to pay physicians more for closing racial…

Insurers claimed $9.2B in questionable payments: OIG | Ascension's tech arm to cut 330 jobs | 10 states with steepest COVID case surges | Blue Shield of Calif. partners with Venus Williams | Medicare benefit expansion: 13 stats to know

September 22, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 20 insurers received half of $9.2B in suspicious Medicare payments, feds report  Full story 2. Ascension's tech business to eliminate 330 more jobs  Full story  3. 10 states with largest…

4 NJ hospitals cut contract with UnitedHealthcare | Hospitals bill insurers $317K for complex COVID cases | Top payers ranked by customer satisfaction | Aetna, BCBS, Cigna, Anthem's virtual care strategies: 7 notes | Hospitals to lose $54B this year

September 21, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. New Jersey hospitals cut contract with UnitedHealthcare  Full story 2. Average charge for complex COVID-19 hospital stay is $317K+  Full story 3. Top payers ranked by customer satisfaction, experience  Full story 4. It's…

Calif. hospital ends Anthem contract amid dispute | 7 systems lose employees over vaccine rules | Texas hospital explains $555K billing error | 10 best, worst states for health insurance coverage | FEMA to cover NY system's $900M COVID tab

September 17, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. California hospital ends Anthem contract after alleged contract breaches  Full story 2. CMS won't enforce payer interoperability rules  Full story 3. Texas hospital says coding problem caused $555K COVID-19 billing error  Full…

Anthem hit with federal penalty over plan spending | Intermountain, SCL to merge 33 hospitals, insure 1M | CDC launches payer feedback toolkit | Physician settles false claims suit for $6.7M | 1 killed in accident involving MRI at Utah hospital

September 16, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem hit with federal penalty over plan spending  Full story 2. Intermountain, SCL Health to merge into 33-hospital system  Full story 3. Prove it, hospital asks unvaccinated employees claiming religious…

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Feds penalize 3 UnitedHealthcare plans | 10 states with steepest COVID case surges | Texas 'gold card' law to cut prior auth delays | NY health plan hit with false claims suit | Top 20 business schools | Wellcare teams up with Joe Montana

September 15, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS blocks 3 UnitedHealthcare Medicare Advantage plans from 6 states  Full story 2. Justice Department alleges data-mining company helped health plan overcharge millions  Full story 3. Physician 'gold card' law to…

CMS pitches disclosure rules for insurers: 7 things to know | 19 exec moves | Blue Shield of Calif. partners with Walgreens | Texas hospital may close due to vaccine mandate | Healthcare billing fraud: 8 suits, settlements

September 14, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS pitches billing, financial disclosure rules: 7 things to know  Full story 2. Blue Shield of California teams up with Walgreens: 5 things to know  Full story 3. 19 recent hospital,…

Delta Air Lines' insurance surcharge spurs vaccinations | UnitedHealthcare pays less for COVID shots, pediatricians say | Biden's vaccine mandates: 9 details | AMA tells employers to challenge prior auths

September 10, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare pays far less to administer COVID-19 shots to kids, pediatricians say Full story 2. Biden mandates vaccine for all federal workers as part of new plan to combat…

Anthem, BCBS hit with antitrust suit | UnitedHealth: Shifting procedures out of hospitals saves $684 on average | 8 hospitals, systems halting nonemergency surgeries | UMass, partners launch Medicare Advantage plan

September 9, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. National brands sue Anthem, BCBS, cite 'continuing conspiracy' to stifle competition Full story 2. 8 hospitals, health systems halting nonemergency surgeries this month Full story 3. UnitedHealth: Average of $684 saved…

WVU Medicine to launch insurance subsidiary for 30K employees | Humana's Medicare Advantage COVID-19 claims surge | The best, worst states to work in | Only physicians on Okla. Medicaid oversight board removed

September 8, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. WVU Medicine plans to launch insurance services subsidiary in 2023 Full story 2. Travel nurses quit California hospital after 1 day over EHR Full story 3. Former Humana CMO files discrimination…

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