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Payer Issues

Blue Shield winds down oversight of COVID-19 vaccine rollout in Calif. | Kaiser sued over $41.7M in payments | COVID hospitalizations at all-time highs in 7 states | Nev. hospital cuts ties with Prominence HealthFirst

August 19, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Blue Shield's COVID-19 vaccine oversight winds down in California Full story 2. COVID hospitalizations at all-time highs in 7 states: 8 US COVID-19 trends Full story 3. Nevada hospital cuts ties…

Humana CFO details home health push as Kindred deal closes | Anesthesiologists sue UnitedHealth over surprise bills | 3 studies guiding the US booster plan | BCBS of NC partners with provider on clinics

August 18, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anesthesiologists join patient lawsuit against UnitedHealth over surprise medical bills Full story 2. Humana closes Kindred at Home deal: 5 things to know Full story 3. Humana's CFO on the…

UnitedHealthcare acquires insurer from Minn. system | CareFirst BCBS mandates vaccines | 10 states with highest COVID-19 case increases | RI attorney general calls out premium hikes | Providence Health Plan gets new CEO

August 17, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare acquires PreferredOne Full story 2. 3 knowns and unknowns in this 'messy' COVID-19 surge Full story 3. Viewpoint: Increased premiums for the unvaccinated could upheave health reform Full story 4. Should you…

Anthem to open 50 medical centers with CareMax | UnitedHealthcare loses Medicare overpayment appeal | Don't let 'elective' fool you, physicians urge | Kaiser, Desert Care hospitals to end contract

August 13, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem partners with CareMax to open 50 medical centers Full story 2. UnitedHealthcare loses Medicare overpayment appeal: 5 things to know Full story 3. Why this Stanford researcher says…

HHS sued over insurance price transparency rule | ProMedica can end rival's insurance contracts | UnitedHealthcare settles mental health case | COVID-19 cases peak in 3 states | Why a hospital bill from 1955 went viral

August 12, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. ProMedica can end rival's insurance contracts, court rules Full story 2. UnitedHealthcare settles mental health parity lawsuit Full story 3. 3 states record highest caseloads of pandemic & 6 other COVID-19…

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Medicaid work rules out in 3 more states | UnitedHealthcare data used in influential surprise billing study | How vaccination rates are changing in each state | Sentara settles improper claims allegations

August 11, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS pulls Medicaid work rules in 3 more states Full story 2. Texas hospitals asked to postpone elective procedures, out-of-state workers recruited Full story 3. UnitedHealthcare data fuels,…

HCSC goes big on Medicare Advantage | Ascension Mich. settles false claims case | People go to great lengths for unauthorized boosters | How insurer profits changed in a year | CMS targets 'most favored nations' model

August 10, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Health Care Service Corp. announces biggest Medicare Advantage expansion to date Full story 2. Some Americans taking COVID-19 boosters into their own hands Full story 3. How health insurer profits…

Wash. system to sever contract with Premera Blue Cross | Optum's growth in 13 numbers | Ascension settles false claims allegations | 7 states account for half of COVID cases, hospitalizations | Lab countersues BCBS of Kansas City

August 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Washington health system to sever contract with Premera Blue Cross Full story 2. 13 numbers that show Optum's Q2 growth Full story 3. White House reports 'significant' rise…

OIG auditing Aetna MA plans | Cardiologist sentenced for 'fountain of youth' billing scam | ICU capacity strained in Ark., Miss. | Cigna's profit dips to $1.5B | Telehealth prices at 25 hospitals

August 5, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. OIG auditing Aetna's Medicare Advantage plans Full story 2. COVID-19 surge strains ICU capacity in Arkansas, Mississippi: 5 things to know Full story 3. Cardiologist gets 6.5 years…

Aetna, CVS to enter ACA marketplace in 8 states | 7 ways this surge is different | PE firm creates value-based care co. | UnitedHealth consultants lose class certification in wage suit | US ranks last in healthcare

August 4, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Judge decertifies class in suit against UnitedHealth subsidiaries alleging underpayment of consultants Full story 2. 7 ways this COVID-19 surge is different Full story 3. Aetna, CVS to…

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