May 29, 2025 1. Walmart launches digital Medicare Advantage integrations Full story 2. Elevance to pull out of Ireland, 300 layoffs planned Full story 3. AI is revolutionizing member engagement — discover how it works here. 4. UnitedHealthcare Medicaid CEO…
Payer Issues
May 28, 2025 1. UnitedHealth investor drops lawsuit targeting company strategy following CEO death Full story 2. The top-ranked commercial health plans for member experience in 2025 Full story 3. A 1300% INCREASE IN VALUE-BASED CONTRACTS? You read that right. Learn…
May 27, 2025 1. AHIP warns of 'unprecedented' coverage losses Full story 2. 17 payers cutting jobs | 2025 Full story 3. Reimagine payer transparency. Get insights here. 4. California payer decries 'hostile takeover' amid local Medicaid changes Full story 5.…
May 23, 2025 BHR Newsletter 1. 'We're skipping steps': What's overhyped in healthcare, per 11 payer leaders Full story 2. UnitedHealth's former CEO resigns from board of directors Full story 3. New CMS rules make prospective risk adjustment essential. Avoid…
May 22, 2025 BHR Newsletter 1. CMS plans 'aggressive' Medicare Advantage audits Full story 2. UnitedHealth pushed nursing homes to deter hospital transfers: Guardian Full story 3. Reimbursement is too complex to guess — The data to drive better contract decisions,…
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May 21, 2025 BHR Newsletter 1. UnitedHealth urges shareholders to back CEO's $60M pay package Full story 2. Florida prosecutors open criminal probe related to $10M Centene donation Full story 3. Medicare Advantage, AI: What's really shaping payer strategy in…
May 20, 2025 BHR Newsletter 1. Florida Blue loses Medicare Advantage star ratings challenge Full story 2. A one-on-one with Centene's first ICHRA president Full story 3. Most GLP-1 patients quit within a year. Learn how to change that here.…
May 19, 2025 BHR Newsletter 1. Lawmakers urge jury trial in UnitedHealth Medicare Advantage fraud case Full story 2. UCare to lay off 80 Full story 3. What's next for value-based care? Aetna, EmblemHealth & BCBS are scaling smarter models…
May 16, 2025 BHR Newsletter 1. UnitedHealth's care utilization problem worsens Full story 2. California could cut Medicaid coverage of GLP-1s for weight loss Full story 3. Survey: Nearly 50% of health plans lack quality cost data. Learn more here.…
May 15, 2025 BHR Newsletter 1. UnitedHealth under criminal investigation for alleged Medicare Advantage fraud: WSJ Full story 2. California governor proposes rolling back Medi-Cal coverage for undocumented immigrants: 5 notes Full story 3. 43% drop in MSK spend. How…