October 29, 2024 BHR Newsletter 1. Why low Medicare Advantage star ratings can lead to a 'Darwinian death spiral' Full story 2. 6th health system may exit Medicare Advantage in Minnesota Full story 3. 20 payers cutting jobs Full story 4.…
Payer Issues
October 28, 2024 BHR Newsletter 1. Medicare Advantage market exits causing the most disruption Full story 2. UnitedHealth to meet with Justice Department on Amedisys deal: Bloomberg Full story 3. Insurers call OIG Medicare Advantage audit 'misleading' Full story 4.…
October 25, 2024 BHR Newsletter 1. 12 opportunities payers can seize next year Full story 2. How Medicare Advantage plans are approaching a 'tumultuous' open enrollment Full story 3. Centene posts $713M in Q3 profit Full story 4. Enhance efficiency…
October 24, 2024 BHR Newsletter 1. Some payers are 'hitting the snooze button' on 2-midnight rule: Report Full story 2. 1 phone call cost Centene $73 million, lawsuit alleges Full story 3. CMS lifts enrollment suspension on UnitedHealthcare Medicare Advantage…
October 23, 2024 BHR Newsletter 1. Labor Department, UnitedHealth settle alleged emergency claims issues Full story 2. Former Humana CEO joins venture capital firm Full story 3. Elevance sells Florida medical centers Full story 4. How 2 systems tackled patient…
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October 22, 2024 BHR Newsletter 1. Elevance to lay off 123 in California Full story 2. Election outcome key for potential Humana-Cigna merger: Report Full story 3. Blue Shield of California, Salesforce partner on prior authorization Full story 4. Transform…
October 21, 2024 BHR Newsletter 1. Cigna, Humana resume merger talks: Bloomberg Full story 2. More payers challenge Medicare Advantage star ratings Full story 3. Elevance to buy home health company CareBridge Full story 4. Intelligent automation can help payers…
October 18, 2024 BHR Newsletter 1. CVS Health ousts CEO, no Aetna leader named Full story 2. Medicare Advantage plans 'intentionally using prior authorization to boost profits': Senate report Full story 3. Elevance faces 'unprecedented' Medicaid challenges: 7 things to…
October 17, 2024 BHR Newsletter 1. Elevance posts $1B profit in Q3, lowers earnings forecast Full story 2. Change Healthcare cyberattack costs to reach $2.87B Full story 3. Best Medicare Advantage plan companies in each state: US News Full story…
October 16, 2024 BHR Newsletter 1. UnitedHealth seeks 'less abrasion' with hospitals Full story 2. Best Medicare Advantage plans for 2025: US News Full story 3. Best Medicare Part D plans for 2025: US News Full story 4. Intelligent automation…