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Payer Issues

Avg. hospital payer mix by state | Walgreens wants $642M Humana award vacated | CVS expects $1B revenue drop | 8 best payers for new grads | Where UPMC Health Plan is growing | CBO: Uninsured rate at 10% by 2033

May 26, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Average hospital payer mix in every state Full story 2. Walgreens wants Humana's $642M arbitration award vacated Full story 3. 8 payers among Forbes' best employers for new graduates in 2023 Full…

June 1 Medicare payments at risk | 8 BCBS affiliate earnings in '22 | 1 in 4 Medicaid enrollees don't know where to find other coverage | AHIP president resigning | Harvard Pilgrim reports ransomware attack | BCBS Neb. names CEO | 8 Cigna updates

May 25, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. June 1 Medicare payments at risk if debt ceiling not resolved Full story 2. Many Medicaid beneficiaries don't know where to find other insurance: 5 notes Full story 3. How 8…

CMS pitches PBM price transparency | Payers ranked by Q1 commercial members | Debt ceiling talks focus on Medicaid work rules | 8 most community-minded insurers | Ozempic pill sees 15% weight loss | Virtual-first health plans: 4 updates

May 24, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS proposes rule to improve Medicaid and PBM price transparency Full story 2. Payers ranked by commercial membership | Q1 2023 Full story 3. 8 payers among Points of Light's most…

Employers wary of weight loss drugs | How UnitedHealth came to dominate healthcare | Calif. pitches Medicaid boost | Cigna delays modifier 25 policy | Centene COO retiring | Bright completes reverse stock split | 6 MA study findings

May 23, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 22% of employers will cover weight loss drugs: Survey Full story 2. How UnitedHealth Group became the nation's largest healthcare company Full story 3. California governor pitches higher Medi-Cal rates Full story…

Medicaid unwinding off to rocky start | 6 limitations with price transparency data, per Elevance | 175 groups oppose UnitedHealth's GI prior auth policy | Lawmakers press payers on MA claims denials | Top earners at for-profit health systems

May 22, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Medicaid redeterminations are going worse than expected, experts say Full story 2. 6 limitations with payers' price transparency data, per Elevance Health researchers Full story 3. 175 groups urge UnitedHealthcare to…

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1:1 with Dr. Jaewon Ryu on Risant Health | US debt ceiling breach may be catastrophic for payers | UPMC faces antitrust suit | Optum's former CMO joins WelbeHealth | Top conditions driving self-insured claims | Unhealthiest county in each state

May 19, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'An opportunity to enhance our model': Geisinger CEO Dr. Jaewon Ryu on Risant Health Full story 2. Why a US debt ceiling breach could be catastrophic for hospitals, payers Full…

5 new Risant Health details | FTC expands PBM probe | 'Medicare for All' bill reintroduced | From PE to bankruptcy: Envision's last 5 years | Payers expect $1.1B in MLR rebates | BCBS Mass. adds physician groups | Unhealthiest states for seniors in '23

May 18, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. New Risant Health details emerge: 5 notes Full story 2. FTC expands PBM probe Full story 3. From private equity to bankruptcy: Envision's last 5 years Full story 4. A no-surprises approach…

Regulators eye Cigna after unreviewed claims report | Optum's chief consumer exec departs | Wis. system drops Envision | Healthiest states for seniors, per UnitedHealth | Why 10 hospitals were at risk of losing CMS funding | 8 Centene updates

May 17, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Insurance commissioners eye Cigna following report of physicians denying claims without reading them Full story 2. Optum's chief consumer officer departs for Amwell Full story 3. Wisconsin system to drop Envision…

Payers put AI to work | Centene shareholders reject exec pay proposals | Court pauses ACA preventive care ruling | Cityblock Health to lay off 60 | CVS to close clinical trials unit | Ozempic alternatives worry health experts | 7 Optum exec moves

May 16, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. How will AI change the insurance industry? 18 leaders explain Full story 2. Centene shareholders officially reject executive pay proposals Full story 3. Cityblock Health to lay off 60 Full story 4. Solving…

Envision files for bankruptcy | 50 things to know about UnitedHealth Group | Highest-paid healthcare CEOs in '22 | Insurtechs lost $282M in Q1 | Independence Blue Cross details prior auth pilot | 10 payer exec moves in May

May 15, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Envision files for bankruptcy Full story 2. 50 things to know about UnitedHealth Group Full story 3. 10 payer exec moves since May 1 Full story 4. 1,400+ cyberattacks occurred at healthcare organizations…

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