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Payer Issues

Insurers extend prior auths for elective services | Optum in talks to acquire telehealth provider for $470M | Va. health system, physician group settle false billing claims | Hospitals, insurers call on Congress to protect health coverage

April 28, 2020 BHR Newsletter Upcoming Webinars   â—   Recent Whitepapers   â—   Podcasts 1. Optum targets telehealth provider for $470M acquisition: 5 details Full story 2. Insurers extending prior authorizations for elective services Full story 3. These 7 top payer CEOs collectively made $151M in…

UnitedHealth exec pay: 3 notes | Insurer premium rebates could hit $2.7B | Clinicians get MIPS credit for COVID-19 data | Contactless payments surge amid COVID-19 | HHS language signals surprise billing ban during pandemic

     Payer Issues E-Newsletter April 21, 2020 Upcoming Webinars   â—   Recent Whitepapers   â—   Podcasts 1. UnitedHealth exec pay: 3 things to know about 2019's highest-compensated leaders Full story 2. HHS language points to ban on surprise billing during pandemic Full story 3. $450B relief…

UnitedHealth, Humana, other payers expand coverage to 250+ telehealth services | Optum CEO takes leave to help WHO vaccine effort | Texas hospital: Aetna owes $12M in unpaid claims | 5 payer exec moves

     Payer Issues E-Newsletter April 16, 2020 Upcoming Webinars   â—   Recent Whitepapers   â—   Podcasts 1. UnitedHealth posts $3.4B profit; Optum CEO to take leave of absence Full story 2. The telehealth services Aetna, UnitedHealthcare & more payers are covering during…

CMS pitches 3 payment rules, delays emergency care model + releases cost-sharing rules | UnitedHealth earnings to shed first light on COVID-19 effects | Blue Shield of Calif. unit to acquire 2,700-physician group | Molina won't buy Medicaid plan

     Payer Issues E-Newsletter April 14, 2020 Upcoming Webinars   â—   Recent Whitepapers   â—   Podcasts 1. CMS pitches 3 payment rules for 2021: 5 things to know Full story 2. UnitedHealth earnings to shed first light on COVID-19's financial effects Full…

UnitedHealth, CMS accelerate billions in provider payments | 9 national COVID-19 updates | UnitedHealth, Cigna accused of underpaying behavioral health claims | New COVID-19 peak dates in each state | Uninsured COVID-19 hospital costs could top $41B

     Payer Issues E-Newsletter April 9, 2020 Upcoming Webinars   â—   Recent Whitepapers   â—   Podcasts 1. UnitedHealth fast-tracks $2B in payments to providers Full story 2. CMS will speed $34B in payments to hospitals Full story 3. National PPE stockpile…

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Final Medicare Advantage rates: 5 things to know | 6 national COVID-19 updates | Blue Shield of Calif. to help hospitals get cash | Premium increases likely as pandemic costs mount: analysis | State-by-state prediction of insurance losses due to COVID-19

     Payer Issues E-Newsletter April 7, 2020 Upcoming Webinars   â—   Recent Whitepapers   â—   Podcasts 1. CMS finalizes 2021 Medicare Advantage rates: 5 things to know Full story 2. White House taps 3M for 166M face masks; Fauci 'cautiously optimistic'…

UnitedHealthcare delays new ED policy | CMS makes sweeping regulatory changes: 5 outbreak updates | Humana, Cigna waive costs for COVID-19 treatment | BCBS of North Carolina gets new CEO + 14 payer exec moves

     Payer Issues E-Newsletter March 31, 2020 Upcoming Webinars   â—   Recent Whitepapers   â—   Podcasts 1. UnitedHealthcare delays new ED claim policy amid COVID-19 Full story 2. CMS makes sweeping regulatory changes; COVID-19 is 3x as infectious as flu —…

Aetna drops cost-sharing for COVID-19 hospitalizations | Insurers ditch prior auths, expand telehealth coverage | US coronavirus deaths pass 1,000 | Medicaid will cover $35k COVID-19 bill, uninsured woman hopes

     Payer Issues E-Newsletter March 26, 2020 Upcoming Webinars   â—   Recent Whitepapers   â—   Podcasts 1. Aetna to waive cost-sharing for COVID-19 hospitalizations Full story 2. Cigna, BCBS plan, Washington state removing prior authorization requirements Full story 3. COVID-19 deaths pass…

BCBS: Walgreens overcharges for drugs | NY to insurers: Free employed clinicians to fight pandemic | US coronavirus deaths jump 100+ | Centene CEO made $26M+ again | State rankings of COVID-19 risk, Medicaid coverage

     Payer Issues E-Newsletter March 24, 2020 Upcoming Webinars   â—   Recent Whitepapers   â—   Podcasts 1. BCBS sues Walgreens, alleges 10+ years of overcharging for drugs Full story 2. Pandemic is accelerating, WHO head warns; US deaths jump 100+ in…

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