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Payer Issues

Where Medicaid negotiates over weight loss drugs | 4 prior auth updates | 8 MA study findings | How Elevance Health is using AI | Meet UnitedHealth's C-suite

July 26, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. 9 states negotiating Medicaid prices for Wegovy Full story 2. Nearly 1 in 5 workers are 'loud quitting': Gallup Full story 3. 4 recent prior authorization updates Full story 4. Does slow…

Cigna sued over claims algorithm | 7 payers' Medicaid prior auth denial rates | Biden pitches tougher mental health parity rules | C-suite's fastest growing role hits a snag | 18 health systems billing for MyChart

July 25, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Cigna sued following ProPublica report on unreviewed batches of denied claims Full story 2. Prior authorization denial rates for 7 payers' Medicaid MCOs Full story 3. Fastest growing C-suite role…

The fight over claims data | C-suite pay cuts continue | Ascension drops weight loss drug coverage | Elevance loses 135K Medicaid members | 8 Humana updates

July 24, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. 'An industry-shifting moment': Employers, payers tussle over claims data Full story 2. Pay cuts continue in the C-suite Full story 3. Ascension drops weight loss drug coverage for…

What outsourcing to Optum is like | How 7 payers use AI | The biggest misconceptions about payers, per 24 execs | 20 most socially responsible hospitals | Calif. prior auth bill advances

July 21, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. What's it like to outsource to Optum? A New York Health system CEO explains Full story 2. How 7 payers are using AI Full story 3. The biggest misconceptions about…

CMS halts Medicaid unwinding in some states | UnitedHealth names chief physician | 9 highest paid payer CEOs | 100 fittest cities in America, per Elevance | 10 Medicare Advantage updates

July 20, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. CMS halts Medicaid redeterminations in 'half-dozen states' Full story 2. Former Optum Health CEO transitioning to UnitedHealth Group chief physician role Full story 3. The 9 highest paid CEOs at…

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Optum Health taps CEO | Elevance posts $1.9B Q2 profit | How payer exec salaries stack up | Most socially responsible hospital in each state | Calif. Medical Assoc. can sue Aetna, court says

July 19, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Elevance Health posts $1.9B profit in Q2 Full story 2. Optum Health taps former CVS exec as CEO Full story 3. How payers' executive compensation stacks up with other…

UnitedHealth expects higher MA costs | 17 payers among best companies for disability inclusion | HCSC boosts prior auth with AI | More than 2M disenrolled from Medicaid | 5 payers entering new markets

July 18, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. UnitedHealthcare preparing for rising Medicare Advantage costs in 2024 Full story 2. How Health Care Service Corp. made prior authorization 1,400 times faster with AI Full story…

50 things to know about Optum | Is price transparency lowering costs? | CMS floats physician, outpatient rules: 15 notes | 25 payers on Threads | 7 recent exec moves

July 17, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. 50 things to know about Optum Full story 2. Payers' price transparency data has been available for a year. Is it lowering costs? Full story 3. 7 payer exec moves…

UnitedHealth posts $5.5B Q2 profit | Ozempic demand driving up premiums | CMS pitches price transparency changes | How the 'Amazon effect' is changing the insurance industry | 7 MA updates

July 14, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. UnitedHealth Group posts $5.5B profit in Q2 Full story 2. Ozempic demand is driving up care costs nationwide Full story 3. CMS considers hospital price, data transparency changes in 2024 Full…

The ongoing BCBS reshuffle explained | Lawmakers push more price transparency bills | Many MA members financially unstable: Humana | Why CVS, Optum spent $17B on home care | Johns Hopkins rebrands insurance plan

July 13, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Why Blue Cross Blue Shield companies are reorganizing Full story 2. Many Medicare Advantage beneficiaries report financial instability, food insecurity: Humana report Full story 3. House committee advances price transparency,…

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