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Payer Issues

UnitedHealth illegally underpaid ER physicians: lawsuit | 146 telehealth services covered by Medicare during the pandemic | Ill. hospital tagged for erroneous billing | Physician who helped design Medicare dies

November 4, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. ER physicians accuse UnitedHealth of illegally underpaying claims Full story 2. OIG tags Illinois hospital for erroneous billing Full story 3. 5 things we know about the 2020 presidential…

500+ BCBS of Mich. workers take buyouts | 39 hospitals face max readmission fines | Birx: US entering 'most deadly phase' of pandemic | 17 payer exec moves | Humana nearly doubles Q3 profit

November 3, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 39 hospitals face maximum Medicare readmission penalties Full story 2. 500+ BCBS of Michigan employees take buyouts Full story 3. US entering 'most deadly phase' of pandemic, Birx…

CMS pitches price disclosure, COVID-19 vaccine rules | Blue Cross Calif. fined over coverage delays | 3 insurers that laid off workers this year | Medicaid deals boost Molina's Q3

October 29, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS issues coverage rules for COVID-19 vaccine: 10 things to know Full story 2. CMS releases final price disclosure rule: 5 things to know Full story 3. 3 insurers that…

Aetna settles 3 HIPAA breaches | CMS' Quality Payment Program results: 6 notes | Ballad to postpone elective procedures in Tenn. | Anthem profit tumbles 81% | Rapid COVID-19 tests coming to 1,000 CVS pharmacies

October 28, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Aetna settles HIPAA breaches affecting nearly 18,500 members Full story 2. Ballad Health to postpone elective procedures at some Tennessee hospitals Full story 3. CVS to add rapid COVID-19 testing at…

Medicare, Medicaid to cover COVID-19 vaccine | ProMedica health plan to terminate Ohio hospital's in-network status | Intermountain, Sanford to merge | Centene's profit balloons to $568M

October 27, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. COVID-19 vaccine to be covered by Medicare, Medicaid Full story 2. Intermountain, Sanford to merge into 70-hospital system Full story 3. Tennessee hospital suspends elective surgeries Full story 4. Amwell's 2020 Physician and…

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CHI St. Luke's threatens split with Molina | Hospital chiefs warn of 'worse' COVID-19 wave as 16 states see record hospitalizations | CMS delays radiation oncology model | Humana updates musculoskeletal prior auths

October 22, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CHI St. Luke's threatens split with Molina, 2nd insurer this week Full story 2. 16 states see record COVID-19 hospitalizations; CDC expands definition of 'close contact' — 6…

4 healthcare execs charged in $55M billing scheme | UnitedHealth, Humana, Anthem, Cigna execs on telehealth strategy | Trump vs. Biden on healthcare: 8 notes | Mich. insurer to offer virtual-first plan

October 21, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 4 healthcare execs charged in $55M scheme after Texas hospital CEO pleads guilty Full story 2. What UnitedHealth Group, Humana, Anthem and Cigna execs are saying about telehealth Full story…

How Anthem, Cigna, UnitedHealth's hospital-based imaging policies stack up | BCBS of Texas, CommonSpirit to split | Calif. systems refused, delayed COVID-19 transfers due to insurance | Best Medicare drug plans: US News

October 20, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CommonSpirit, BCBS of Texas split to affect thousands Full story 2. What Anthem, Cigna, UnitedHealth's hospital-based imaging policies entail Full story 3. Hospitals return $2.3B in federal COVID-19 aid Full story…

CMS, BCBS expand telehealth coverage | Best Medicare Advantage plans: US News | 10 states with least competitive insurance markets | Optum physicians conduct 1M digital visits | 5 canceled hospital mergers

October 15, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS adds 11 new telehealth services to Medicare coverage Full story 2. Blue Cross Blue Shield covers telemedicine permanently for federal workforce program Full story 3. 5 hospital mergers…

UnitedHealth posts $3.2B profit | COVID-19 patient gets surprise $52K bill | Mo. hospital CEO put on leave | Humana adds 4 grocers to pharmacy network | Barrett: 'I am not hostile to ACA'

October 14, 2020 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth posts $3.2B profit in Q3 Full story 2. 20 states record COVID-19 highs; Redfield warns of emerging threat — 4 updates Full story 3. Missouri hospital CEO put on leave…

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