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Payer Issues

New CMS rule would update Medicare shared savings, telehealth coverage | Where COVID-19 cases are up 404% | Why Calif. physicians want Aetna case reviewed | Aduhelm gets a no from more private payers

July 14, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS pitches physician payment rule for 2022: 9 things to know Full story 2. Eyes on Tennessee: COVID-19 cases up 404% in 2 weeks Full story 3. 6 BCBS affiliates…

Humana quietly funding clinics | Physician sentenced for defrauding 3 insurers | Hospitals call Biden EO 'misguided' | Medicare starts Aduhelm coverage review | Cigna wins out on NFL claim suit

July 13, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Physician sentenced for defrauding 3 insurance companies out of $17M Full story 2. Humana quietly funded 40 Iora primary care clinics Full story 3. 'Best of intentions can be…

Biden EO calls out health insurer consolidation | 15 best, worst states for retirement | Trinity may sell stake in Medicaid plan to Highmark | CMS' 2022 payment rules: 21 notes | BCBS of RI CMO heads to Olympics

July 9, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden zeros in on healthcare competition in executive order: 10 notes Full story 2. Analysts say UnitedHealth's earnings will decline in Q2 Full story 3. At current rate, 70% of adults…

Aetna cataract policy draws physician backlash | Lab CEO charged in $86M Medicare billing scheme | RIP 'Uber of healthcare' | Biden to target noncompetes | Humana downsizes in Wis.

July 8, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Physicians push back against new Aetna cataract surgery policy Full story 2. Biden to target noncompete clauses in exec order Full story 3. Tennessee lab CEO charged in $86M…

Amazon Care wants Aetna, BCBS plans to cover its services | Insurer startups hiring more physicians | CMS targets retroactive ED denials | COVID-19 hospitalizations up in 21 states | Humana to hire 200

July 7, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Amazon Care approached big health insurers to expand coverage Full story 2. Health insurance startups hiring more physicians Full story 3. 21 states where COVID-19 hospitalizations are…

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UnitedHealthcare's ER policy violates patient protection laws, physicians say | COVID-19 cases up in 17 states | Medicare has new director | Beaumont-Spectrum merger could spark tougher payer negotiations

July 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare ER policy challenges patient protection laws, physicians say Full story 2. Amid rising COVID-19 cases, delta variant & July 4 collision has some experts 'very concerned' Full…

BCBS Association innovation chief: 2 things that need to change | DOJ targets EHR false claims | Healthcare spending per capita, by state | 6 payer CEOs on AHIP's board | Cigna gets win in NJ lab lawsuit

July 2, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. BCBSA chief innovation officer on transforming healthcare one step at a time Full story 2. How much each state spends per capita on healthcare Full story 3.…

Aetna, Mednax stuck in contract dispute | Humana Foundation CEO resigns | Delta strain now most common | 25 healthiest communities | Conn. physician to pay $15M in billing case | Okla. 37th state to expand Medicaid

July 1, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Humana Foundation CEO steps down Full story 2. CVS Aetna, Mednax patients could see rise in care costs due to contract dispute Full story 3. Delta…

Kaiser, Molina, HealthNet accused of running 'ghost networks' | Medicaid waiver puts $1.1B in limbo for Dallas hospitals | 5 top insurers: Forrester | Former CMMI chief starts healthcare venture | Anthem buys Puerto Rico's largest MA plan

June 30, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'It'd be catastrophic': Dallas-area hospitals could lose $1.1B annually without Medicaid waiver, healthcare group warns Full story 2. Kaiser, Molina, HealthNet accused of running 'ghost networks' in…

CMS pitches ACA enrollment, home health changes | Physicians trump Molina in court | 25 best places for healthcare access | UnitedHealthcare, Ga. hospital clash over contract | Why John Oliver is targeting cost-sharing ministries

June 29, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden pitches changes to ACA plan enrollment: 5 things to know Full story 2. COVID-19 is still delaying surgeries, even as cases die down. Here's why Full…

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