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Payer Issues

Phishing attack hits Minn. payer | Cigna wins $5.8M in false claims case | State strategies from the most successful vaccine rollouts | OptumRx opens pharmacy in NC | 13 payer exec moves

January 14, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Email phishing attack on Minnesota health plan exposes 66,000 members' info Full story 2. Daily COVID-19 deaths top 4,000 for 3rd day; WHO team arrives in China…

CMS issues final rule for breakthrough tech: 5 notes | Cigna suspends some donations to lawmakers | Healthcare's 14 highest-paying jobs + 18 best places to work | UnitedHealthcare invests in Minn. housing

January 13, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts Editor's note: An earlier version of this newsletter was incomplete and sent by mistake. Becker's regrets the error. 1. CMS issues final rule for Medicare coverage of breakthrough technologies:…

Optum moves to buy 715-physician group in Mass. | UnitedHealthcare suspends some prior auth rules | Trump administration changes nat'l vaccine guidelines | BCBS Association suspends some political donations after Capitol riot

January 12, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Optum in talks to acquire 715-physician group in Massachusetts Full story 2. UnitedHealthcare suspends some prior authorization rules for hospitals Full story 3. US recommends immediate vaccination for those…

CMS payment change for COVID-19 tests takes effect | Highest COVID-19 infection rates in world are in 3 states | 9 payer deals | Patients would pay $2,607 more for hospital with extra quality star | 5 top insurers, ranked by customers

January 7, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Medicare payment changes for COVID-19 tests take effect: 3 things to know Full story 2. 3 states have highest COVID-19 infection rates in world; UK variant in Pennsylvania —…

UnitedHealth's Optum to buy Change Healthcare in $13B deal | COVID-19 hospitalizations flare in South, West | Providers favored in arbitration decisions, study says | CEO of inpatient center admits to Medicaid billing fraud

January 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Optum to buy Change Healthcare in $13B deal: 5 details Full story 2. UK variant found in Georgia; COVID-19 hospitalizations flare in South, West — 6 updates Full…

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UnitedHealthcare, Envision sever ties | Aetna gets partial win in cancer coverage case | Tufts Health Plan, Harvard Pilgrim merge | Cigna sells $6.3B nomedical unit | Centene to buy Magellan

January 5, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Envision, UnitedHealthcare break ties: 5 things to know Full story 2. UK variant detected in 4 states; COVID-19 hospitalizations hit record high — 5 updates Full story 3. Aetna gets partial…

Aetna pharmacy change affects 400K Ill. Medicaid members | COVID-19 variant found in 2nd state | Centene buys Pantherx | Record number of US workers calling in sick | 10 top payer stories this year

December 31, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Aetna pharmacy network change affects 400,000 Illinois Medicaid members Full story 2. 5 things we still don't know about COVID-19 Full story 3. Spoiled COVID-19 vaccine doses at Wisconsin hospital…

ProMedica blocked from ending insurance contracts | Hospitals must release payer negotiated rates | Biden expands COVID-19 response team | 29 payer exec moves | Montefiore, UnitedHealthcare hit impasse

December 30, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Hospitals lose appeal in price transparency case Full story 2. Biden taps 3 officials for COVID-19 response team; McConnell blocks bill for $2K stimulus checks — 7…

Prime mailing error exposes data of Boeing health plan members | Duke, Geisinger sue HHS over Medicare payments | New to patients' paperwork: Binding arbitration agreements | BCBS of KC unit buys stake in value-based care co.

December 29, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Prime Therapeutics sends incorrect mailings to Boeing health plan members Full story 2. 2 million Americans have been vaccinated; House passes bill for $2K stimulus checks — 6 COVID-19…

485K+ Aetna, Blue Cross members affected by data breach | Horizon can restructure | COVID-19 data will wobble for next 10+ days: 5 notes | Trump commutes sentence for Fla. healthcare exec convicted of Medicare fraud

December 24, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Email hack exposes data of 485K+ Aetna, Blue Cross members Full story 2. COVID-19 patient killed by hospital roommate in California, police say Full story 3. Horizon can restructure:…

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