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,…
Payer Issues
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.…
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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…
May 14, 2025 BHR Newsletter 1. 5 things to know about UnitedHealth Group's new CEO Full story 2. Converging threats loom for the nation's uninsured rate Full story 3. BCBS, Cigna & Humana are rethinking cost, access and experience. Their game…
May 13, 2025 BHR Newsletter 1. UnitedHealth Group CEO steps down Full story 2. Payers split on GLP-1 strategy Full story 3. AI is expanding autism care access. Discover what it can and can't replace here. 4. Health system vs.…
May 12, 2025 BHR Newsletter 1. House Republicans release Medicaid cuts proposal Full story 2. Illinois insurer to lay off 612 Full story 3. Medicare Advantage, AI: What's really shaping payer strategy in 2025? Find out at Becker's roundtable, here.…
May 9, 2025 BHR Newsletter 1. Boom times for small insurers Full story 2. Medicare Advantage crackdown could offer alternative to Medicaid cuts, lawmakers say Full story 3. Cancer care costs are going up. How to improve access & affordability…