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Payer Issues

‌ ‌ ‌ ‌ ‌ September 18, 2018 TODAY’S TOP STORIES 1. Cigna, Express Scripts merger cleared by Justice Department Full story 2. What $52B Cigna-Express Scripts deal means for healthcare Full story 3. Mark Zuckerberg to sell $13B in…

‌ ‌ ‌ ‌ ‌ September 13, 2018 TODAY’S TOP STORIES 1. BCBS, Humana rank highest among consumers Full story 2. 400% price hike for generic drug a ‘moral requirement,’ Missouri pharma CEO says Full story 3. Humana CEO unloads…

‌ ‌ ‌ ‌ ‌ September 6, 2018 TODAY’S TOP STORIES 1. Georgia physician allegedly submitted 4,500 false claims for unnecessary lead poisoning treatments Full story 2. Premera Blue Cross accused of destroying evidence in data breach case Full story…

‌ ‌ ‌ ‌ ‌ August 30, 2018 TODAY’S TOP STORIES 1. Highmark to pay ambulance companies for treating patients outside hospital Full story 2. Erlanger sues TennCare, claims state Medicaid program puts insurers before safety-net hospitals Full story 3.…

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‌ ‌ ‌ ‌ ‌ August 28, 2018 TODAY’S TOP STORIES 1. Blue Cross: North Carolina hospital engaged in a ‘$76M health insurance swindle’ Full story 2. Mississippi hospital files for bankruptcy Full story 3. Americans rigging own medical safety…

‌ ‌ ‌ ‌ ‌ August 21, 2018 TODAY’S TOP STORIES 1. Aetna, Oklahoma hospital accuse management company of billing fraud Full story 2. Michigan hospital blames ‘aggressive, direct competitor’ for financial troubles Full story 3. CMS survey reveals serious…

‌ ‌ ‌ ‌ ‌ August 14, 2018 TODAY’S TOP STORIES 1. Humana divests $2.4B long-term insurance business Full story 2. Proposed payment changes likely to ding hospital margins Full story 3. 8 recent payer-provider disputes, resolutions Full story 4.…

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