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Payer Issues

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…

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 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…

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August 23, 2023 BHR Newsletter 1. Florida sued over Medicaid unwinding process Full story 2. Anthem slaps Bon Secours with cease and desist amid escalating contract fight Full story 3. California system latest to side-eye Medicare Advantage Full story 4. You can't cut corners in credentialing, but…

August 18, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. 10 payers cutting jobs Full story 2. Why new insurance start-ups are focused on the employer market Full story 3. Former Kaiser medical group CEO has concerns about Risant Full story…

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