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Payer Issues

Walmart Health COO outlines insurance business | LA hospital can force Anthem to cover ER visits | Trump isolates in White House | How tenative $2.7B antitrust deal would change Blue operations

October 6, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Walmart Health COO outlines health insurance business: 5 things to know Full story 2. Trump isolates at White House; top officials push back on FDA vaccine standards — 7 COVID-19…

Walmart launches 1st insurance plans | UnitedHealth, Anthem curb telehealth coverage | COVID-19 cases up in 25 states | Anthem settles 2015 cyberattack for $39.5M | 100 biggest US hospitals

October 1, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Walmart partners with Clover Health for 1st insurance plans: 4 things to know Full story 2. UnitedHealth, Anthem end some telehealth coverage Oct. 1 Full story 3. Cases rise…

Baylor St. Luke's regains Medicare funding | 1st presidential debate: 7 notes | Fastest-growing healthcare jobs | BCBS of Ariz. CEO: Strengthen payer-hospital ties | 22 payer exec moves

September 30, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Baylor St. Luke's regains Medicare funding for heart transplants Full story 2. The first presidential debate: 7 healthcare takeaways Full story 3. Texas hospital, managers pay $16M to settle 2…

Aetna, Anthem, Cigna, Humana + UnitedHealth's virtual care strategies: 13 notes | Trump, Biden debate at Cleveland Clinic | NYC Health + Hospitals settles billing fraud suit | Molina to buy Medicaid insurer for $380M

September 29, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 13 things to know about Aetna, Anthem, Cigna, Humana and UnitedHealthcare's virtual care strategies Full story 2. Trump, Biden debate at Cleveland Clinic today: 5 things to know Full…

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…

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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…

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,…

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