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Payer Issues

Blue Shield Calif. teams with Mark Cuban, Amazon pharmacies | Hospitals dropping MA | Lawsuit questions Amedisys-UnitedHealth deal | 8 positions being cut at Aetna | Where ACA premiums are rising, falling in '24

August 17, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Blue Shield of California shrugs CVS for Mark Cuban, Amazon pharmacies Full story 2. Hospitals take aim at Medicare Advantage Full story 3. Amedisys filed misleading statement regarding UnitedHealth…

Layoffs at Aetna | Ozempic could join CMS drug price talks | Ore. system urges patients to drop MA | Payers pitching the highest rate hikes for '24 | 8 Elevance updates

August 16, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. CVS to cut jobs at Aetna Full story 2. Ozempic might be in upcoming drug price talks with CMS Full story 3. Why an Oregon health system wants its patients…

Inside UnitedHealth's commercial prior auth cuts | Mayo to bill for MyChart | Payers ranked by MA bonus payments in '23 | Cano bankruptcy likely | 10 recent payer exec moves

August 15, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. UnitedHealthcare's commercial plan prior authorization cuts by category Full story 2. Mayo Clinic to charge for MyChart messages Full story 3. How much 7 payers will receive in Medicare…

Layoffs hit Optum | NYC judge blocks Aetna MA contract | UnitedHealth gets OK to acquire UK company | States push back on insurers' proposed rate hikes | 6 prior auth updates

August 14, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Layoffs hit Optum Full story 2. NYC judge blocks $15B Aetna Medicare Advantage contract for city retirees Full story 3. UnitedHealth gets provisional OK to acquire UK company Full…

DOJ eyes UnitedHealth-Amedisys deal | 36 states fall short on Medicaid unwinding | Cano to cut 17% of workforce | AdventHealth sues MultiPlan for alleged price fixing | Amazon, CVS face off on senior care

August 11, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. UnitedHealth-Amedisys deal facing antitrust review from Justice Department Full story 2. 36 states are falling short on Medicaid redetermination compliance, HHS says Full story 3. 'Like a mafia enforcer for…

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The future of health insurance, per 19 execs | UnitedHealth to mentor 10 more startups | Healthcare M&A hits a low | Payers ranked by Medicaid membership | Ga. hospital sues Cigna

August 10, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. What does the future hold for the health insurance industry? 19 executives explain  Full story 2. Healthcare M&A hits 3-year low Full story 3. 10 digital health startups tapped…

Payer mix in the largest for-profit systems | Why a UnitedHealth employee joined the Bachelorette | 7 ways payers are containing GLP-1 costs | Counties with the highest, lowest uninsured rates | The 3% raise is no longer enough

August 9, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Why this UnitedHealth Group employee joined the Bachelorette Full story 2. 7 ways health plans are containing weight loss drug costs Full story 3. Payer mix in the nation's largest…

Elevance taps new CFO | 3 payers reverse policies after pushback | SD system drops all MA plans | Weight loss drugs boost payers' pharmacy lines | 10 UnitedHealth updates

August 8, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. 3 payers halting policies after pushback Full story 2. Elevance Health names new CFO Full story 3. South Dakota health system drops all Medicare Advantage plans Full story 4. There's a…

Optum names new president | HHS loses another No Surprises lawsuit | Humana reverses prior auth policy | US hits record uninsured rate | 10 Medicaid updates

August 7, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Optum reshuffles leadership, names president Full story 2. HHS loses another No Surprises Act Lawsuit Full story 3. Majority of adults think insurers should cover weight loss drugs:…

Weight loss drug coverage hits a wall | Payers ranked by Q2 profits | CVS job cuts have unclear effect on Aetna | CEO role loses luster | 9 Medicare Advantage updates

August 4, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Health plans are dropping weight loss drugs like flies Full story 2. Big payers ranked by Q2 profits Full story 3. CVS Health is cutting 5,000 jobs. Its effect on…

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