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Payer Issues

The limit to weight loss drugs, per Prime Therapeutics | Johns Hopkins enacts MyChart fees | What Centene's CEO learned in year 1 | ACA risk adjustment payments on rise | 10 Medicaid updates

July 12, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Prime Therapeutics: Majority of patients stop taking weight loss drugs after 1 year Full story 2. What Centene CEO Sarah London learned in her 1st year on the…

Payers pitch rate hikes amid Ozempic spike | The unhealthiest county in each state | Medicaid affected in Anthem, Bon Secours pay fight | CVS-owned pharmacy to lay off 195 | 11 UnitedHealth updates

July 11, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Demand for Ozempic contributing to rising premiums in Michigan Full story 2. UnitedHealth Group in the headlines: 11 updates Full story 3. The unhealthiest county in each US state | 2023 Full story…

Employers sue for claims data | 16 payers among nation's 'greatest workplaces' | Judge pauses Aetna's NYC MA plan | Optum Everycare CEO exits | The healthiest county in each state

July 10, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Employers are increasingly suing their health plan for claims data Full story 2. Judge temporarily blocks Aetna Medicare Advantage plan for NYC retirees Full story 3. 16 payers among America's…

Biden takes aim at 'junk' plans | FDA clears Leqembi | 6 MA study findings | Ark. systems splits with UnitedHealthcare | 4 Google healthcare job openings

July 7, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Biden proposes 'junk' insurance plan crackdown Full story 2. What 6 recent studies found about Medicare Advantage Full story 3. Medicare will cover Alzheimer's drug Leqembi: 5 things to know Full story…

Idaho drops Optum for Centene | Ohio eyes Medicaid work rules | Eli Lilly crowned world's largest healthcare co. | Inside Elevance's suicide reduction program | 10 key Cigna updates in '23

July 6, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Idaho drops Optum, awards $1.2 billion behavioral health contract to Centene Full story 2. Ohio seeking Medicaid work requirements Full story 3. Eli Lilly overtakes UnitedHealth Group as world's…

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Kraft sues Aetna for claims data | CMS floats home care pay cut | No Ozempic before surgery: New guidance | 10 states with largest employee health plans | 7 prior auth updates in '23

July 5, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Kraft Heinz sues Aetna for alleged claims data mismanagement Full story 2. States with the largest employee health plans Full story 3. CMS floats 2.2% cut to home health payments…

What makes the top health plans unique? | 35 exec moves in June | BCBS Assoc. sues company for blue cross logo | Why Oscar posted its AI research | Centene CEO: Behavioral costs rising

July 3, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. What makes the health plans top-rated by their members unique? 8 executives explain Full story 2. 35 payer exec moves in June Full story 3. BCBS Association sues Texas…

Molina to buy Bright's Calif. MA plan | FTC floats stricter merger reviews | UnitedHealth waives virtual visit costs | BCBS Ariz. launches primary care company | 78 charged in $2.5B fraud scheme

June 30, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Molina to acquire Bright Health's Medicare Advantage business in $600M deal Full story 2. Georgia's Medicaid work requirements start July 1: 5 things to know Full story 3. FTC,…

Optum, Virginia Mason partner | States consider Medicaid unwinding pause | 8 Cost Plus Drug Co. moves | The two-midnight rule and MA: 6 notes | Ore. looks to create universal care board

June 29, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Optum strikes Medicare Advantage deal with Virginia Mason Full story 2. 8 recent moves from Mark Cuban Cost Plus Drugs Full story 3. More states could follow Michigan in pausing…

Pickleball: An unlikely threat for insurers | Former Highmark employee accused of HSA theft | Cigna names Medicare leader | 5 recent payer rebrands | 8 key Centene updates in '23

June 28, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. UnitedHealthcare warned of rising healthcare utilization rates. Is pickleball to blame? Full story 2. Former Highmark employee accused of stealing funds from member's health savings accounts Full story 3. Cigna…

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