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Payer Issues

10 states with the highest, lowest uninsured rates | UnitedHealth posts $5B profit | CMO: Cigna may force Mass. hospital out of network | Nearly all of HCSC's highest-paying execs got raises in 2018: report

  Payer Issues E-Newsletter October 15, 2019 1. UnitedHealth posts $5B profit in Q3 Full story 2. 10 states with the highest, lowest uninsured rates Full story 3. Nearly all of HCSC's highest-paying execs got raises in 2018, report finds Full story 4. In just…

The 2020 Medicare plans with 5 stars + 5 plans flagged for low ratings | BCBS of NC updates protocols, officially ends Cambia talks post-CEO scandal | ACA ruling expected this month | Cleveland Clinic, Oscar expand co-health plan

  Payer Issues E-Newsletter October 14, 2019 1. The 2020 Medicare plans with 5 stars Full story 2. 5 Medicare plans warned for low star ratings Full story 3. ACA ruling expected this month: 4 things to know Full story 4. How to supercharge the…

CMS to investigate NJ hospital after ProPublica exposé | New York BCBS plans allegedly overpaid hospitals $85M | UnitedHealth to kick off Q3 results next week: 4 notes | 3 infants die of bacterial infections at Geisinger's NICU

  Payer Issues E-Newsletter October 10, 2019 1. New York BCBS plans allegedly overpaid hospitals by $85M Full story 2. UnitedHealth to kick off Q3 earnings next week: 4 things to know Full story 3. 3 infants die of bacterial infections at Geisinger's NICU Full story…

BCBS of Texas debuts first of 10 primary care clinics | Ex-BCBS of NC CEO found guilty of DWI, child abuse | Michigan's Medicaid program may fire its PBMs | Humana shakes up C-suite responsibilities

  Payer Issues E-Newsletter October 9, 2019 1. Verdict for ex-BCBS of North Carolina CEO: Guilty of DWI, child abuse charges Full story 2. BCBS of Texas unveils first of 10 primary care clinics Full story 3. Physician sues Kaiser Permanente over opioid-related patient satisfaction…

Humana: 25% of healthcare spending is waste | Calif. physicians, medical group CEO settle billing fraud case | Medicare may overpay hospitals $1B for graduate studies every year | WVU Medicine unveils Medicare Advantage plan

  Payer Issues E-Newsletter October 8, 2019 1. Physicians, medical group CEO pay $6.7M to settle billing fraud case in California Full story 2. DC hospital goes 11 days without running water Full story 3. WVU Medicine unveils Medicare Advantage product through…

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Trump rule would make immigrant visas contingent on health insurance | CMS terminates Ill. hospital's Medicare contract | UnitedHealth buys Va. health plan; issues layoffs in Minn. | Surgeon settles false billing allegations for $4.25M

  Payer Issues E-Newsletter October 7, 2019 1. Immigrant visas contingent on health insurance under new Trump rule Full story 2. CMS terminates Illinois hospital's Medicare contract Full story 3. Aetna errors canceled Medicaid coverage for beneficiaries in Kansas Full story 4.…

Trump signs executive order on Medicare | Ex-Capital One president joins Anthem's board | 56 hospitals facing maximum Medicare readmission penalties | Tenn. hospitals address proposed Medicaid block grant

  Payer Issues E-Newsletter October 3, 2019 1. Trump signs executive order 'protecting' Medicare Full story 2. 5 health systems investing in express care Full story 3. The 56 hospitals facing maximum Medicare readmission penalties Full story 4. UMass Memorial cut its…

BCBS of NC needs to rebuild trust — analysts say it won't be easy | 14 hospitals with the most ER visits | UnitedHealth, Humana downgraded on election uncertainty; Cigna gets boost | Ex-hospital CEO charged in $114M billing scheme

  Payer Issues E-Newsletter October 2, 2019 1. 14 hospitals with the most ER visits | 2019 Full story 2. BCBS of North Carolina needs to rebuild trust. It won't be easy, analysts say Full story 3. Contract between Anthem, Georgia health…

UnitedHealth stock faces biggest quarterly drop in 9 years | Hospitals slam CMS' move to disclose negotiated payer rates | Feds charge physicians, healthcare execs in $675M billing fraud bust | Regence BlueShield to unveil surprise-billing legislation

  Payer Issues E-Newsletter September 30, 2019 1. UnitedHealth stock faces largest quarterly drop since 2010 Full story 2. Hospitals slam CMS proposal to disclose negotiated rates Full story 3. Feds charge physicians, healthcare execs in $675M billing fraud bust Full story 4.…

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