September 7, 2023 BHR Newsletter 1. The No Surprises Act's next battleground: Appeals court Full story 2. Where Medicare Advantage and traditional Medicare differ the most on spending Full story 3. One-third of HHS appointees hop to industry jobs, raising conflict-of-interest concerns Full story…
Payer Issues
September 6, 2023 BHR Newsletter 1. Why Blue Shield of California's CEO thinks more payers will leave traditional PBMs behind Full story 2. CMS launching population health-focused payment model Full story 3. Oscar snags two more Aetna alums Full story 4. Expert tip: Giving payers direct access…
September 5, 2023 BHR Newsletter 1. Humana sues HHS over new Medicare Advantage clawback rule Full story 2. UnitedHealthcare hits back at Prisma Health lawsuit Full story 3. 8 recent payer M&A updates Full story 4. Take the guesswork out of vendor compliance. This short report can…
September 1, 2023 BHR Newsletter 1. UnitedHealthcare's prior authorization cuts begin Full story 2. CMS suspends dispute resolution processes after latest No Surprises Act court loss Full story 3. Walgreens CEO steps down Full story 4. Payers' access to EMRs shouldn't be taken lightly. This expert will…
August 31, 2023 BHR Newsletter 1. CMS to states: Fix your broken Medicaid eligibility systems Full story 2. 3 payer M&A deals under scrutiny Full story 3. Rising stars: 67 healthcare leaders under 40 Full story 4. Independent hospitals are going extinct. Hear how collaboration with neighboring…
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August 30, 2023 BHR Newsletter 1. Prisma Health files for temporary restraining order against UnitedHealthcare amid contract negotiations Full story 2. The 20 highest-paid S&P 500 healthcare CEOs Full story 3. Humana's CenterWell expanding to in-home primary care Full story 4. Expert tip: Giving payers direct access…
August 29, 2023 BHR Newsletter 1. Bon Secours sues Anthem BCBS for $93M, alleging unpaid claims Full story 2. CMS names 10 drugs for new price negotiations Full story 3. UnitedHealthcare individual exchange plan prior authorization cuts by category Full story 4. Payers' access to EMRs…
August 28, 2023 BHR Newsletter 1. HHS loses 4th No Surprises Act lawsuit Full story 2. The nation's largest payers have evolved — what will smaller payers do? Full story 3. Centene sells UK hospital group for $1.2B Full story 4. You can't cut corners in…
August 25, 2023 BHR Newsletter 1. 150 things to know about the 'Big 6' health insurers Full story 2. 40 payers among Forbes' best-in-state employers Full story 3. Texas HHS employees sound alarm on "numerous and growing issues" during Medicaid unwinding Full story 4. In this staffing…
August 24, 2023 BHR Newsletter 1. Cigna ends prior authorization requirements for 25% of procedures Full story 2. CVS Health laying off employees in at least 9 states Full story 3. Amazon tiers healthcare prices Full story 4. Take the guesswork out of vendor compliance. This short…