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…
Payer Issues
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…
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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…
September 22, 2023 BHR Newsletter 1. HHS pauses procedural Medicaid disenrollments in 30 states Full story 2. UnitedHealthcare cuts some Medicare Advantage plans for 2024 Full story 3. World's best payers, per Time Full story 4. Seattle Children's cut anesthesia costs by $175K while also shrinking its…
September 21, 2023 BHR Newsletter 1. Judge won't block former Elevance Health exec from joining Molina Full story 2. EEOC sues UnitedHealthcare over unvaccinated employee's firing Full story 3. Are payers complying with price transparency rules? Full story 4. Most insurers aren't taking advantage of a key…
September 20, 2023 BHR Newsletter 1. Mark Cuban's Cost Plus Drug Co. teams up with Intermountain's Select Health Full story 2. Best-rated Medicare Advantage plans in 2023, per NCQA Full story 3. 18 recent payer CEO moves Full story 4. 1 in 5 women are mistreated while…
September 19, 2023 BHR Newsletter 1. Optum to transform clinics after layoffs: 'And we're just getting started' Full story 2. NCQA: The best-rated commercial health plans in each state Full story 3. 26% of employers plan to offer weight loss drug benefits over next year:…