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Payer Issues

Aetna, newborn physician firms embroiled in lawsuits over payments | Why airlines hope physicians aren't on board during medical emergencies | Humana sues government to keep details of $45B Tricare deal under lock | Former Optum exec fills CEO role at 3-hospital system

‌ ‌ ‌ ‌ ‌ May 31, 2018 TODAY’S TOP STORIES 1. Aetna, newborn physician firms embroiled in legal battle over payments Full story 2. Why airlines hope physicians aren’t on board during medical emergencies Full story 3. Virginia legislature…

NYC Health + Hospitals: UnitedHealthcare owes $11.5M in wrongful denials | Texas man receives $7,924 surprise bill after going to in-network ER | Nurse awarded $28M in retaliation suit against Brigham and Women's Hospital | 5 things to know about Kaiser's health plan

‌ ‌ ‌ ‌ ‌ May 29, 2018 TODAY’S TOP STORIES 1. NYC Health + Hospitals: UnitedHealthcare owes $11.5M in wrongful denials Full story 2. Cigna, claims processor hit with 2nd cost-shifting lawsuit in 2 months Full story 3. Nurse…

Ex-Anthem fraud investigator charged in $20M billing scheme | Mayo sells health plan set to close | Tenet hospital's Medicare contract in jeopardy | Join 78 hospital CEOs at Becker's CEO + CFO Roundtable | Calif. exchange insurers to drop in-network hospitals missing safety marks

‌ ‌ ‌ ‌ ‌ May 24, 2018 TODAY’S TOP STORIES 1. Former Anthem fraud investigator charged in $20M billing scheme Full story 2. Tenet hospital’s Medicare contract in jeopardy over patient safety issues Full story 3. 50 experts leading…

Aetna whistle-blower suspended after accusing CVS Caremark of $1B billing scheme | Wis. hospital at risk of losing Medicare contract | Oscar Health quietly built its own claims processor to simplify physician payments | BCBS drops North Carolina hospital from network after fraud allegations

‌ ‌ ‌ ‌ ‌ May 22, 2018 TODAY’S TOP STORIES 1. Aetna whistle-blower put on leave after accusing CVS Caremark of $1B billing scheme Full story 2. End gag clauses that keep patients in dark about drug costs, CMS…

5 things to know about $54B Cigna-Express Scripts merger | 100 great leaders in healthcare | BCBS of Massachusetts blames federal taxes for $97.2M operating loss | UnitedHealthcare denied a dying mother's liver transplant, until she penned a letter to the CEO

5 things to know about $54B Cigna-Express Scripts merger | 100 great leaders in healthcare | BCBS of Massachusetts blames federal taxes for $97.2M operating loss | UnitedHealthcare denied a dying mother’s liver transplant, until she penned a letter to…

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Pa. hospital discloses Medicare billing violations | Trump says 'great health plans' to come in few weeks | Hear keynotes from NewYork-Presbyterian and Cleveland Clinic at Becker's Health IT + Revenue Cycle Conference | Texas hospital closes, allegedly owes Cigna and Aetna $43M

Pa. hospital discloses Medicare billing violations | Trump says ‘great health plans’ to come in few weeks | Hear keynotes from NewYork-Presbyterian and Cleveland Clinic at Becker’s Health IT + Revenue Cycle Conference | Texas hospital closes, allegedly owes Cigna…

Texas physician: BCBS' out-of-network ER policy will 'kill people' | UnitedHealthcare's bundled payment program cuts readmissions 22% | New York hospital reportedly pays CEO $660k to 'disappear' | Bon Secours, VCU Health partner for 4 ACA marketplace plans

Texas physician: BCBS’ out-of-network ER policy will ‘kill people’ | UnitedHealthcare’s bundled payment program cuts readmissions 22% | New York hospital reportedly pays CEO $660k to ‘disappear’ | Bon Secours, VCU Health partner for 4 ACA marketplace plans ? ?…

How Aetna, Anthem, Cigna, Humana and UnitedHealth fared in Q1 | Texas hospital to close | Join 210+ hospital and health system speakers at Becker's Health IT + Revenue Cycle conference | Partners explores merger with 1.2M-member health plan

‌ ‌ ‌ ‌ ‌ May 8, 2018 TODAY’S TOP STORIES 1. Partners HealthCare, 1.2M-member health plan considering merger Full story 2. Cigna CEO: Express Scripts deal leaves very little overlap for antitrust argument Full story 3. Texas hospital to…

Humana's profit down 56%; Cigna's up 53% | Augusta Health CEO: Anthem is trying to strong-arm independent physicians | Hear Peyton Manning and Venus Williams at Becker's Health IT + Revenue Cycle Conference | California hospital to close, lay off 200 employees

‌ ‌ ‌ ‌ ‌ May 3, 2018 TODAY’S TOP STORIES 1. Augusta Health CEO: Anthem is trying to strong-arm independent physicians Full story 2. 100 great hospitals in America | 2018 Full story 3. California hospital to close by…

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