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Payer Issues

The 'most engaged' payer workplaces | What Medicaid members are saying about redeterminations | Payers, providers push for No Surprises arbitration guidance | Centene loses out on Ind. managed-care contract | Meet Bright Health's leaders

March 17, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. What Medicaid enrollees are saying about redeterminations Full story 2. 4 payers among 'world's most engaged workplaces' Full story 3. Groups push for arbitration guidance to ease No Surprises Act logjam Full…

Fla. takes over Bright's finances | CMS posts drug negotiation guidance | Prior auth is worsening patient outcomes, physicians say | Who gets to go by 'Dr.'? | Retirees push back on MA | 3 Medicaid expansion updates

March 16, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS posts guidance for Medicare drug negotiation program Full story 2. Florida is supervising Bright Health's finances Full story 3. 89% of physicians say prior authorization leads to worse patient outcomes:…

UnitedHealth members appeal major coverage ruling | Google updates search engine for Medicaid unwinding | What 7 leaders said about CMS' proposed MA rates | Telehealth startups lean into weight loss drugs | 10 recent payer exec moves

March 15, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth members say mental health coverage is 'controlled' by finance department in new appeal Full story 2. How Google is helping beneficiaries navigate Medicaid redeterminations Full story 3. 10 payer exec moves…

The 'world's most ethical' health insurers | Fla. is 'ground zero' for payer fraud | Why an Oregon MCO bought a hotel | 20 hospitals with smallest CEO-worker pay gaps | UnitedHealth, Morehouse partner up

March 14, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. South Florida is 'ground zero' for Medicare, Medicaid fraud Full story 2. 4 payers among world's most ethical companies Full story 3. Why an Oregon managed care plan bought a hotel Full…

Weight loss drugs could increase Medicare rates: Report | Payers are evading price transparency rules, senators say | Optum Health names regional CEO | Insurtechs lost $2.3B in '22 | 8 UnitedHealth updates

March 13, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. New weight loss drugs could increase Medicare premiums, experts warn Full story 2. Senators accuse payers of evading price transparency rules Full story 3. Optum Health names new regional CEO Full story…

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Medicaid termination dates by state | Biden's $6.8T budget: 15 healthcare notes | CVS has 'premier' assets to support Medicare, CEO says | World's largest insurers by market cap | BCBS NC reports $36M profit in '22 | NYC greenlights Aetna MA plan

March 10, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden's $6.8T budget: 15 healthcare takeaways Full story 2. When each state will begin terminating Medicaid coverage Full story 3. With Signify and Oak Street, CVS has 'premier' assets to support…

Calif. drops $54M Walgreens deal | Hundreds in Congress affected by ACA data breach | 8 prior auth. updates | AHIP leads coalition to support Medicaid unwinding | 8 MA study results | How many clinics does CVS, Optum have?

March 9, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Hundreds of lawmakers affected by ACA marketplace data breach in D.C. Full story 2. California rescinds $54M deal with Walgreens Full story 3. 8 updates on prior authorization Full story 4. High-risk…

Payers, providers unite against CMS | Medicaid work rules floated in Congress | Moody's: Payers face weaker earnings in '23 | Cuban to sell 1st branded drug | CareFirst BCBS, Aledade partner | 18 recent CMS moves

March 8, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Payers, providers urge CMS to halt proposed 2024 Medicare Advantage rates Full story 2. Moody's: Payers are facing weaker earnings this year Full story 3. Medicaid work requirements floated again at…

'We're done': Calif. cuts ties with Walgreens | Biden's plan to sustain Medicare | 5 payers reporting losses in '22 | Transcarent to partly acquire 98point6 | Where Humana has commercial members | 10 MA startups to know

March 7, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. How Biden's budget aims to sustain Medicare, lower costs Full story 2. 5 payers reporting losses in 2022 Full story 3. 'We're done': California cuts ties with Walgreens over abortion pills Full…

Health system vs. payer profits in '22 | How Aetna leverages CVS to boost Medicaid outreach | Friday Health Plans to layoff 98 | Cigna's global strategy lead departs | Excellus BCBS profits fall 50% | 5 Apple healthcare job openings

March 6, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Large health system vs. payer profits in 2022 Full story 2. How Aetna's CVS advantage is boosting Medicaid outreach ahead of redeterminations Full story 3. Friday Health Plans to…

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