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Payer Issues

UnitedHealthcare, Montefiore split nears 6th month | Ill. hospital gets new trial in $20M Humana dispute | Colo. will pay hospitals to close freestanding ERs | Kan. tosses 'junk insurance' bill | What's 'COVID arm'? 7 findings

May 21, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Illinois hospital gets new trial in $20M Humana dispute Full story 2. Tens of thousands of patients still in limbo amid UnitedHealthcare, Montefiore split Full story 3.…

Centene CEO wants to leave Mo. | Failed NY insurer gets $220M settlement from US | JPMorgan launches health co. | Texas to reapply for Medicaid waiver | Tufts-Harvard Pilgrim gets CEO

May 20, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene CEO wants to leave Missouri after Medicaid expansion decision Full story 2. Failed New York health insurer gets $220M settlement from US Full story 3. JPMorgan…

Wis. employers swap UnitedHealthcare for network vowing 15% lower costs | Va. physician gets 59 years in prison for $20M fraud | SCA fires back at DOJ in collusion case | Anthem, Epic go in on data sharing with providers

May 19, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Wisconsin employers leave UnitedHealthcare for new network promising 15% lower costs Full story 2. CHS has sued 19,000 patients for unpaid bills amid the pandemic Full story  …

Aetna investigates potential 'waste, fraud' at Texas hospital | CMS further delays breakthrough tech rule | Nurses 'outraged' over new mask guidance | Back to office for most Humana workers | 10 healthcare lawsuits, settlements

May 18, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Aetna investigating potential 'waste, abuse and fraud' at Cook Children's amid life support controversy Full story 2. Texas AG sues Biden administration over revoked Medicaid funding Full…

Hospitals adding payer performance officers to C-suite | 10 US counties where COVID-19 hospitalizations rising fastest | Miss. next target for Medicaid expansion | Oscar loses $87M in Q1 | Fortune's 8 greatest healthcare leaders

May 14, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Mississippi next Medicaid expansion target for advocacy groups Full story 2. 10 US counties where COVID-19 hospitalizations are rising fastest: NYT Full story 3. Who health systems…

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Mo. withdraws Medicaid expansion | Where hospitals are best, worst at avoiding overuse | Cigna CEO unloads $16M in stock | Centene, Magellan deal nearly done | UnitedHealth, CVS among world's 20 largest healthcare cos.

May 13, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Missouri withdraws plans for Medicaid expansion Full story 2. 20 largest healthcare companies in the world for 2021 Full story 3. Mayo, Kaiser strike joint investment in…

Saint Francis CEO blames BCBS break on last-minute term changes | Hospitals with more privately insured have better quality: study | U of Miami to settle false billing case for $22M | Ex-nursing aide sentenced for 8 patient deaths

May 12, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Saint Francis CEO says last-minute changes led to BCBS break; insurer disagrees Full story 2. Apple Health, Amazon lose key healthcare leaders: 5 things to know Full…

UnitedHealth, Cigna chiefs see pandemic's negative effects fading | UMass Memorial debuts insurance co. | Payer shares hit all-time highs | ProMedica insurer sues Ohio over managed Medicaid bids | Why several states are investigating PBMs

May 11, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth CEO: Most negative effects from pandemic will recede next year Full story 2. Cigna CEO says preventive care is back to pre-pandemic levels Full story 3.…

CMS ups antibody infusion payments | Hospitals get slap on wrist for price transparency failures | 5M Americans enrolled in Medicaid during pandemic, study finds | Walmart to bring telehealth nationwide

May 7, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS boosts Medicare payments for COVID-19 antibody infusions Full story 2. Hospitals get 1st CMS warning on price transparency failure Full story 3. Minnesota nurse reinstated after…

How CMS starred US News' 20 Honor Roll hospitals | UnitedHealthcare launches post-discharge program | What put Mission Health's Medicare contract at risk? | 1 in 6 workers stay at job for health insurance

May 6, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Mission Health nearly lost its Medicare contract last fall: What changes were enacted to keep it? Full story 2. Health insurer margins were stable in 2020, while…

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