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Payer Issues

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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UnitedHealth mailed woman 500 denials in 5 days, she says | BCBS of NC CEO resigns | Cost of employer-based health coverage hits new record for families | Ark. hospital hopes nonprofit status will boost Medicare reimbursement

  Payer Issues E-Newsletter September 26, 2019 1. Woman says UnitedHealth sent her 500 denial letters in 5 days Full story 2. BCBS of North Carolina CEO resigns after DWI arrest Full story 3. Sam's Club launches healthcare pilot program for members: 5…

BCBS of NC halts merger plans as details of CEO's arrest emerge | Blame insurers for surprise medical bills, TeamHealth exec says | Medicare billing error affects 411,000 seniors | Verma to payers: Listen to patients, or go extinct

    September 25, 2019 1. BCBS of North Carolina merger plans halted as video, details of CEO's DWI incident emerge Full story 2. Methodist Le Bonheur wipes out medical debt for 6,500 patients Full story 3. Insurers are to blame for surprise…

Humana sets up digital shop in Boston | Walmart's plan to build a healthcare workforce: 5 things to know | CMS finalizes Medicaid DSH payment rule | Why Anthem is a 2nd or 3rd choice for investors

  Pharmacy Report E-Newsletter September 24, 2019 1. CMS finalizes rule detailing Oct. 1 cuts to Medicaid DSH payments Full story 2. Oscar's monopoly suit against Florida Blue dismissed Full story 3. Walmart unveils plan to build healthcare workforce: 5 things to know…

10 states with least competitive insurance markets | Centene, WellCare clinch major regulatory win | Former Texas hospital exec imprisoned for $16M Medicare fraud | Tenn. unveils Medicaid overhaul

  Pharmacy Report E-Newsletter September 19, 2019 1. 10 states with least competitive insurance markets Full story 2. On same day of hospital concentration study, AMA says payers are the ones with less competition Full story 3. Centene, WellCare pass major regulatory hurdle…

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