October 6, 2023 BHR Newsletter 1. OIG: Aetna received estimated $25.5M in Medicare Advantage overpayments Full story 2. Why BCBS Michigan is cutting 20% of prior authorization requirements Full story 3. Novant Health lays off 160, including managers Full…
Payer Issues
October 5, 2023 BHR Newsletter 1. Lawmakers want feds to 'carefully scrutinize' UnitedHealth's Amedisys acquisition Full story 2. 75,000+ Kaiser workers begin strike: 8 things to know Full story 3. Optum inks operational partnership with Wisconsin health system, will…
October 4, 2023 BHR Newsletter 1. Indiana drops Molina from $3.8B Medicaid long-term services contract Full story 2. UnitedHealthcare enhances its UCard for 2024: 4 updates Full story 3. The state of Medicare Advantage in 2023: 12 notes Full story 4. Healthcare is in its consumer-centric era.…
October 3, 2023 BHR Newsletter 1. Where 8 payers are expanding Medicare Advantage in 2024 Full story 2. Labor unions renew legal fight against BCBS Massachusetts over alleged overpayments Full story 3. Instacart, Alignment to launch co-branded Medicare Advantage plan Full story 4. Most insurers aren't…
October 2, 2023 BHR Newsletter 1. Cigna to pay $172M over alleged Medicare Advantage fraud Full story 2. Lawmakers want answers from UnitedHealth, other major payers on Medicaid prior auth denials Full story 3. 19 payer exec moves in September Full story 4. Instantly verify provider credentials…
Advertisement
September 29, 2023 BHR Newsletter 1. Optum eyes majority share in Connecticut surgery center Full story 2. What's unique about the Medicare Advantage plans top-rated by members? 5 executives explain Full story 3. Payers with the best telehealth services in 2023, per J.D. Power Full story…
September 28, 2023 BHR Newsletter 1. Hospitals are dropping Medicare Advantage left and right Full story 2. What 1 Aetna regional president recommends for successful value-based arrangement Full story 3. UnitedHealth in the headlines: 9 updates Full story 4. 1 in 5 women are mistreated while…
September 27, 2023 BHR Newsletter 1. Centene to cut 2,000 jobs Full story 2. Payer executives defend vacation time Full story 3. Looming government shutdown could disrupt Medicaid redeterminations Full story 4. Most insurers aren't taking advantage of a key resource to improve maternal outcomes. See the…
September 26, 2023 BHR Newsletter 1. BCBS Louisiana, Elevance Health halt $2.5B acquisition Full story 2. Lawsuits pile up against Cigna over alleged mass claim denials Full story 3. Cano sells Texas, Nevada centers to Humana for $67M Full story 4. Document management should be a lot…
September 25, 2023 BHR Newsletter 1. Kaiser Permanente names UnitedHealthcare exec as new health plan leader Full story 2. Health insurers go all in on Mark Cuban's drug company Full story 3. HHS preps skeleton crew for government shutdown Full story 4. Addressing staff shortages requires creative…