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Payer Issues

UnitedHealth policies need fed'l review, hospitals say | CEO sentenced for $150M healthcare fraud | Humana, Roche settle lawsuit | Oscar's IPO: 3 notes | 33 healthcare cos. among 'world's most admired'

February 9, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. New UnitedHealthcare policies change coverage for lab tests, specialty drugs. Hospitals want CMS to review them Full story 2. Humana, Roche settle false claims lawsuit for $12.5M Full…

UnitedHealth names CEO, COO | Former Mass. healthcare executive charged in $100M scheme | Front-runner emerges for CMS chief | More Medicare Advantage stars linked with better patient outcomes, study says

February 4, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group names Andrew Witty CEO; gets new COO Full story 2. US death toll passes 450,000; 1st federal vaccine sites to open in California — 7…

Anthem's pharmacy revenues jumped in 2020 | COVID-19 deaths fall in 25 states | Who's who on Biden's healthcare team | Humana to join Cigna's GPO | Many patients spend half of yearly out-of-pocket tab in 1 visit

February 3, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem's pharmacy revenues ballooned in 2020 Full story 2. AstraZeneca vaccine cuts virus transmission; COVID-19 deaths fall in 25 states — 5 updates Full story 3. New Jersey…

Cigna ends prior auths for some CT scans | Optum erroneously billed patients for COVID-19 vaccine | Tufts-Harvard Pilgrim CEO to retire + 30 payer exec moves | UnitedHealth invests in Ill., La. housing

February 2, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna ends prior authorization for some CT exams Full story 2. US vaccinations outnumber COVID-19 cases; reinfection more likely if variants become dominant — 7 updates Full story 3.…

Blue Shield to run Calif.'s COVID-19 vaccine rollout | Biden signs order on ACA, Medicaid | CMS withdraws 3 rules | Judge: UnitedHealth must redo 67K claims | 17 healthcare cos. with most remote jobs

January 28, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Blue Shield of California to oversee state's COVID-19 vaccine distribution Full story 2. CMS withdraws 3 proposed health rules Full story 3. Cases fall 30% since January peak; most…

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Humana to open 100+ Medicare centers by 2023 | UnitedHealthcare, anesthesia provider dispute leads to $15K bill | 2 dead in hostage situation at Texas medical office | Cigna CEO sells $12.7M in shares

January 27, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare, Providence Anesthesiology impasse lands patient with $15K bill Full story 2. 2 dead in hostage situation at Texas medical office Full story 3. COVID-19 hospitalizations fall, but deaths…

CEO of Intermountain's health plan resigns | Biden plans 3 healthcare actions this week | 45 employers join BCBSA's national network | 897 hospitals at risk of closing | WellCare pilots at-home COVID-19 tests

January 26, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CEO of Intermountain's health plan resigns Full story 2. 7 plead guilty in $931M telemedicine fraud scheme Full story 3. US aims to vaccinate 1.5 million daily;…

Optum aims to add 10K physicians | Biden to sign 10 orders on COVID-19 | Cigna accused of using hospital surge to deny claims | 42 measures for Medicare Advantage, Part D star ratings

January 21, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Optum expects to add 10,000 physicians this year Full story 2. Biden to sign 10 exec orders on pandemic response; variants may drive high infection rate through spring…

UnitedHealth profits dampened by COVID-19 | Biden to sign 3 healthcare exec orders today | CMS should take action against 100 'error-prone' providers: OIG | Insurance broker helps erase $2M in medical debt

January 20, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth's Q4 profit drops 38% as COVID-19 costs grow Full story 2. Biden to issue mask mandate today; new US variant may be driving California's surge — 6 COVID-19…

FTC orders 6 payers to hand over data for study | UnitedHealthcare launches virtual primary care service | Excellus BCBS settles data breach affecting 9.3M | 14 recent CMS actions to know

January 19, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Excellus BCBS pays $5.1M to settle data breach affecting 9.3 million people Full story 2. Insurers ordered to give up claims data for FTC study of healthcare mergers and…

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