December 12, 2023 BHR Newsletter 1. House passes the Lower Costs, More Transparency Act Full story 2. Cigna still exploring Medicare Advantage sale: Report Full story 3. Kaiser to cut 115 IT jobs Full story 4. Manual eligibility checks are…
Payer Issues
December 11, 2023 BHR Newsletter 1. Cigna-Humana merger called off Full story 2. How BCBS plans are putting price transparency data to work Full story 3. 7 prior authorization updates Full story 4. Payers can’t afford to be reactive when…
December 8, 2023 BHR Newsletter 1. Is the Medicare Advantage 'gold rush' over? Full story 2. Biden to beef up healthcare antitrust enforcement Full story 3. Advocacy groups decry UnitedHealth's 'misleading' Medicare Advantage marketing Full story 4. Payer eligibility requirements are…
December 7, 2023 BHR Newsletter 1. States ramp up scrutiny of payers' AI use Full story 2. Republican presidential candidates vow to take on 'big insurance' Full story 3. CVS' plan to catch Aetna up to its value-based care competitors…
December 6, 2023 BHR Newsletter 1. The Mark Cuban effect on payers' drug pricing Full story 2. 3 payer CEOs join Taylor Swift, Oprah on Forbes' most powerful women list Full story 3. 50 states ranked by overall health in 2023,…
December 5, 2023 BHR Newsletter 1. CMS cracking down on states' Medicaid redetermination compliance Full story 2. Picking up on ACA challenges, Biden preps healthcare measures Full story 3. Adventist, Blue Shield of California cut ties across 17 hospitals Full story…
December 4, 2023 BHR Newsletter 1. Medicare Advantage rate changes 'incredibly positive,' UnitedHealth CEO says Full story 2. DeSantis suggests plan to 'supersede' Affordable Care Act Full story 3. 30 payers named among best places to work for LGBTQ equality…
December 1, 2023 BHR Newsletter 1. HCSC eyeing Cigna's Medicare Advantage business: Report Full story 2. UnitedHealthcare updates home health prior authorization review process Full story 3. Medicaid expansion begins in North Carolina Full story 4. Achieving adequate reimbursement doesn't…
November 30, 2023 BHR Newsletter 1. Cigna, Humana 'in talks' to merge Full story 2. Why BCBS Arizona wants to look more like Kaiser Full story 3. UnitedHealth Group projects $400B in 2024 revenue Full story 4. Claim denials keep…
November 29, 2023 BHR Newsletter 1. Optum now has 90,000 physicians Full story 2. Trump renews push to replace Affordable Care Act Full story 3. Bipartisan anger over Medicare Advantage denials on the rise Full story 4. Payers can't afford…
