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Payer Issues

Envision plans layoffs | Payers ranked by MA membership | Aetna, UnitedHealthcare settle overcharging allegations | Clover posts $72.6M loss in Q1 | 30 states pitching prior auth reforms

May 12, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Envision plans layoffs in New York, Pennsylvania  Full story  2. Payers ranked by Medicare Advantage membership | Q1 2023  Full story  3. New York settles with Aetna, UnitedHealthcare for…

Envision to file for bankruptcy | Centene shareholders reject exec pay proposals | Oscar Health posts $39.6M Q1 loss | Friday Health Plan halts Colo. enrollments | Humana's Inclusa acquisition passes state reviews

May 11, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Envision to file for bankruptcy  Full story  2. Centene shareholders shoot down executive pay proposals, preliminary results show  Full story  3. Friday Health Plans pauses Colorado enrollments  Full story …

Oscar exiting Calif. market | 7 payer M&A updates | Leaders weigh in on Kaiser-Geisinger deal | What 5 payer leaders said about GLP-1 drugs | 12 top healthcare companies by revenue

May 10, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Oscar Health to exit California market in 2024  Full story 2. 7 payer M&A updates  Full story  3. Carbon Health says Anthem Blue Cross finally processing its claims  Full…

Payers ranked by Q1 membership growth | Centene shareholders zero in on exec pay | 11 billing fraud cases | Bright Health posts $169M loss in Q1 | 73,000 lose Medicaid coverage in Ark.

May 9, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Payers ranked by Q1 membership growth  Full story  2. Centene shareholder proposals zero in on executive pay  Full story  3. Bright Health posts $169M loss in Q1  Full story …

Payers ranked by Q1 profit | Ransomware gang hits Calif. health plan | CMS ditches fight over hospital's candle | Kaiser adds 120,000 health plan members | 9 Aetna updates

May 8, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Big payers ranked by Q1 profit  Full story  2. Dr. Sachin Jain: The healthcare industry's 'inauthenticity epidemic'  Full story  3. 'If we go to court, you will lose': CMS…

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Cigna posts $1.3B Q1 profit | Best payers for women execs | Minn. orders payer to shut down | How BCBS Ariz. is navigating Medicaid redeterminations | Hospital could lose CMS funding over candle | 5 Q's MA data doesn't answer

May 5, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna posts $1.3B profit in Q1 Full story 2. 4 payers among top companies for women executives Full story 3. Arizona was among the 1st states to terminate Medicaid coverage. Here's…

Weight-loss drug sales up 162% | Texan pleads guilty in $7M COVID testing scheme | Where insurer CEO pay has risen most | CVS expects MA boost in '23 | Bright names CFO | Carbons Health airs dispute with Anthem | 7 MA updates

May 4, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Largest payer CEO salary increases in 2022 Full story 2. Novo Nordisk to curb Wegovy supply amid demand hike Full story 3. In reversal, CVS expects double-digit Medicare Advantage growth…

CVS posts $2.1B Q1 profit | Ga. pitches state-run exchange | Are Medicaid work requirements lawful? | HHS to scrap vaccine rules | Calif. physician pays $24M to settle billing fraud claims | 10 best states for healthcare

May 3, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CVS Health reports $2.1 billion profit in Q1 Full story 2. Viewpoint: Federal Medicaid work requirements are unconstitutional Full story 3. Georgia signs state-run ACA exchange into law Full story 4. Create…

CVS buys Oak Street | MA enrollment tops Medicare | BCBS Mich., Vt. pitch affiliation | UnitedHealthcare to pay Envision $91M | RN pay by state | Why Ga. is seeking Medicaid hackers | 8 Elevance Health updates

May 2, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CVS closes $10.6B acquisition of Oak Street Health Full story 2. BCBS Vermont looks to become subsidiary of BCBS Michigan Full story 3. UnitedHealthcare ordered to pay Envision $91M in billing…

Where Medicaid covers weight-loss drugs | 12 UnitedHealth updates | Kaiser deal to 'turbo-boost' Geisinger | 4 ways ChatGPT can help payers | BCBS Tenn. selling campus | 17 payer exec moves in April

May 1, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 17 payer exec moves in April Full story 2. Medicaid covers weight-loss drugs in these 10 states Full story 3. Kaiser combination will 'turbo-boost' Geisinger, CEO says Full story 4. When physicians get…

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