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Payer Issues

Mo. withdraws Medicaid expansion | Where hospitals are best, worst at avoiding overuse | Cigna CEO unloads $16M in stock | Centene, Magellan deal nearly done | UnitedHealth, CVS among world's 20 largest healthcare cos.

May 13, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Missouri withdraws plans for Medicaid expansion Full story 2. 20 largest healthcare companies in the world for 2021 Full story 3. Mayo, Kaiser strike joint investment in…

Saint Francis CEO blames BCBS break on last-minute term changes | Hospitals with more privately insured have better quality: study | U of Miami to settle false billing case for $22M | Ex-nursing aide sentenced for 8 patient deaths

May 12, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Saint Francis CEO says last-minute changes led to BCBS break; insurer disagrees Full story 2. Apple Health, Amazon lose key healthcare leaders: 5 things to know Full…

UnitedHealth, Cigna chiefs see pandemic's negative effects fading | UMass Memorial debuts insurance co. | Payer shares hit all-time highs | ProMedica insurer sues Ohio over managed Medicaid bids | Why several states are investigating PBMs

May 11, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth CEO: Most negative effects from pandemic will recede next year Full story 2. Cigna CEO says preventive care is back to pre-pandemic levels Full story 3.…

CMS ups antibody infusion payments | Hospitals get slap on wrist for price transparency failures | 5M Americans enrolled in Medicaid during pandemic, study finds | Walmart to bring telehealth nationwide

May 7, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS boosts Medicare payments for COVID-19 antibody infusions Full story 2. Hospitals get 1st CMS warning on price transparency failure Full story 3. Minnesota nurse reinstated after…

How CMS starred US News' 20 Honor Roll hospitals | UnitedHealthcare launches post-discharge program | What put Mission Health's Medicare contract at risk? | 1 in 6 workers stay at job for health insurance

May 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Mission Health nearly lost its Medicare contract last fall: What changes were enacted to keep it? Full story 2. Health insurer margins were stable in 2020, while…

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Physicians want insurers to pay for COVID-19 gear in Calif. | Saint Francis, BCBS of Okla. negotiations stall | CMS' direct contracting model: 53 participants to know | Medicare spending goes up when physicians join hospitals: study

May 5, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. California physicians, dentists want payers to compensate for costs of COVID-19 gear Full story 2. Saint Francis Health System, BCBS of Oklahoma negotiations hit snag Full story…

UnitedHealthcare, Renown hit contract impasse | BCBS Assoc. cuts revenue rule that hampered competition | HHS to pay vaccine fees not covered by insurers | 10 hospitals that best avoid unnecessary care

May 4, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare, Renown at contract impasse over requested 16% price increase Full story 2. BCBS Association cuts rule that hampered competition Full story 3. HHS will pay for…

CMS finalizes rules for CJR, marketplace plans | Judge throws out $8B Ky. Medicaid contracts | 199 hospitals with 1 star from CMS | Corporate America warms up to govn't healthcare | 25 payer exec moves

April 30, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS releases final rule on CJR model: 5 things to know Full story 2. CMS releases 2nd payment notice for 2022 coverage year: 5 things to know…

Parents on their kids' health plans? Calif. considers it | Fla. sues HHS for $97M in payments | All 455 of CMS' newly 5-starred hospitals | Anthem buys nursing co. | Texas lawmakers want Medicaid waiver back

April 29, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. California considers allowing adults to add parents to health insurance Full story 2. Florida sues HHS over $97M in denied Medicaid payments Full story 3. 455…

Medicare expansion could be win for employers | Humana's $5.7B home health deal: 5 details | CMS floats inpatient payment rule | Out-of-network bills more common for labs | BCBS Assoc. beats cancer coverage lawsuit

April 28, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Expanding Medicare eligibility would benefit employers, study says Full story 2. CMS' proposed inpatient payment rule for 2022: 8 things to know Full story 3. Humana to…

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