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Payer Issues

UnitedHealthcare's ER policy ignites hospital backlash | Nurse bullying persists | Humana sued over data breach | Excellus BCBS CEO: Listen to providers | 20 'smartest' hospitals | La. bans 'white bagging'

June 9, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Hospitals, physicians rebuke UnitedHealthcare's ER policy Full story 2. Sutter Health to lay off 400 workers Full story 3. Humana sued over wrongful records access data breach:…

ER care target of latest UnitedHealthcare policy | CMS probes Mich. hospital | Biogen working with Cigna, CVS on Alzheimer's treatment | Walmart to expand virtual care into 16 more states| OptumCare: 4 things to know

June 8, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare may not cover ER care it deems nonemergent Full story   2. Arkansas hospital leadership target of no-confidence vote Full story 3. Sanitation, safety complaints…

Renown, UnitedHealthcare terminate contract | Where 'payviders' are likely to succeed | Walmart prefers these 17 systems | Sentara, Cone nix merger | BCBS of NJ director: The 'fragility' of fee-for-service

June 4, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Renown, UnitedHealthcare end contract Full story 2. The 17 health systems to which Walmart sends employees for care in 2021 Full story 3. 7 recent hospital, health…

UnitedHealth sued over COVID-19 test payments | CMS chief outlines insurance priorities | 1 in 3 hospitals see denial rates in 'danger zone' | Viewpoint: Don't lift COVID-19 cost waivers | 8 insurers in this year's Fortune 500

June 3, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Lab hits UnitedHealth with lawsuit over COVID-19 test payments Full story 2. New CMS head outlines insurance priorities: 4 takeaways Full story 3. Texas hospital files for…

AHIP gets new look, mission | Cigna, Mary Washington break leaves 15,000 patients in limbo | Supreme Court's ACA ruling looms | Texas hospital eases masking | 10 best, worst states for healthcare of people 65+

June 2, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna, Mary Washington end contract Full story 2. Texas hospital largely removes mask requirements Full story 3. Massachusetts anesthesia provider pays $260K to resolve surprise billing allegations…

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Biden leaves public option out of $6T budget | 15 top-paid healthcare CEOs: WSJ | Fear of surprise bills can fuel vaccine hesitancy | 8 healthcare lawsuits, settlements | CareSource offers cash for full COVID-19 vaccination

June 1, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden's $6T budget: 7 takeaways for healthcare leaders Full story 2. 15 top-paid S&P 500 healthcare CEOs Full story 3. US companies can mandate COVID-19 vaccination,…

Insurer says policy doesn't cover Carilion's $150M in COVID-19 losses | CMS to delay part of controversial Medicaid drug rule | 15 leaders join HHS | Piedmont offers nurses $30K sign-on bonus | 20 payer exec moves

May 28, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Insurer says policy doesn't cover Carilion's $150M in COVID-19 losses; asks court to toss suit Full story 2. Piedmont offering up to $30K sign-on bonus for nurses…

Texas NP used physician IDs to defraud insurers | Suicide attempts put Children's Colo. in state of emergency | Jefferson on track to fully own Pa. insurer | Lawmakers eye public option | 15 insurers members like the most

May 27, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Texas NP gets 20-year sentence, ordered to pay $52M for fraud using physician IDs Full story 2. 'Overrun with kids attempting suicide': Children's Colorado declares state of…

Insurers sue CVS over drug prices | Va. system, Cigna at contract impasse | HHS allots $4.8B to test uninsured for COVID-19 | 10 financially strong systems | IRS issues COBRA guidance | Google, HCA partner

May 26, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Insurers accuse CVS of overcharging for generic drugs Full story 2. Virginia health system, Cigna at contract impasse Full story 3. CDC releases breakthrough infections report: 5…

Brooks-LaSure confirmed as CMS chief | States ranked by preventable hospitalizations | Next Gen ACO model to end | Tenn. to intervene in Medicaid waiver case | Anthem received millions in overpayments: OIG

May 25, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Meet new CMS Administrator Chiquita Brooks-LaSure: 4 things to know Full story 2. Anthem received millions in overpayments from CMS, inspector general says Full story 3. CDC…

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