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Payer Issues

Anthem profits up 30% despite 1M drop in enrollment | CMS releases 2019 IPPS proposed rule: 10 things to know | BCBS of Texas may bill patients in full for nonemergent use of out-of-network ED | Humana to pay hospitals based on quality improvement

‌ ‌ ‌ ‌ ‌   April 26, 2018 TODAY’S TOP STORIES 1. CMS releases 2019 IPPS proposed rule: 10 things to know Full story 2. DOJ requests information from Cigna, Express Scripts as merger review continues Full story 3.…

Humana, 2 equity firms to acquire hospice operator for $1.4B | Penn State Hershey drops 2,100 neurology patients | Hear Cleveland Clinic CIO Ed Marx and 260+ speakers at Becker's Health IT + Revenue Cycle conference | HCA TriStar, BCBS dispute generates $14M in balance bills

‌ ‌ ‌ ‌ ‌   April 24, 2018 TODAY’S TOP STORIES 1. Humana, 2 equity firms to acquire hospice operator Curo Health for $1.4B: 6 things to know Full story 2. Penn State Hershey drops 2,100 neurology patients Full…

UnitedHealth profit jumps 30.6% | Henry Ford Health System's income dragged down by Epic implementation, labor costs | Join 78 CEOs and 22 CFOs from hospitals at Becker's 7th Annual CEO + CFO Roundtable | Georgia governor threatens executive action in BCBS-Piedmont dispute

‌ ‌ ‌ ‌ ‌   April 17, 2018 TODAY’S TOP STORIES 1. Amazon drops plan to become a major pharmaceutical distributor: 7 things to know Full story 2. UnitedHealth’s Q1 profit jumps 30.6%: 4 takeaways Full story 3. Henry…

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With 8k more physicians than Kaiser, Optum is 'scaring the crap out of hospitals' | 5 changes under HHS' final payment rule | Join Kevin O'Leary and Alexa von Tobel at Becker's Health IT + Clinical Leadership conference | Judge: The way BCBS plans operate could automatically violate antitrust law

‌ ‌ ‌ ‌ ‌   April 10, 2018 TODAY’S TOP STORIES 1. Essential benefits, individual mandate & more: 5 changes under HHS’ final 2019 Payment Notice Rule Full story 2. With 8k more physicians than Kaiser, Optum is ‘scaring…

Anthem letter prompts Calif. hospital to shut down toxicology program | 10 best, worst states for physicians | UnitedHealth CEO: Tech will drive value-based care in 10 years | Allina Health, Aetna tap former Molina exec to lead joint health plan

‌ ‌ ‌ ‌ ‌   March 29, 2018 TODAY’S TOP STORIES 1. Letter from Anthem prompts California hospital to shut down toxicology program Full story 2. UnitedHealth CEO: Tech will drive value-based care in 10 years Full story 3.…

How some rural hospitals score huge paydays from insurance companies | 36 places make US News' first-ever community health honor roll | Hear Peyton Manning and Venus Williams speak at Becker's Health IT + Revenue Cycle conference | Cybersecurity team will 'lie, cheat and steal' to safeguard BCBS data

‌ ‌ ‌ ‌ ‌   March 27, 2018 TODAY’S TOP STORIES 1. Orlando Health, Aetna roll out joint health plan: 4 things to know Full story 2. Aetna CEO: ‘Warren Buffett said healthcare was a tapeworm on US economy…

UnitedHealth puts Envision's ED billing policies in its crosshairs | Humana reaches $2.5M settlement over alleged pay bias against 753 women | CHS seeks to terminate spinoff agreements amid feud with Quorum | FTC asks for more information on Optum's takeover of DaVita

‌ ‌ ‌ ‌ ‌   March 22, 2018 TODAY’S TOP STORIES 1. Humana reaches $2.5M settlement over alleged pay discrimination against 753 women Full story 2. 92% of physicians say prior authorization negatively impacts patient outcomes: 5 things to…

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