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Payer Issues

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…

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…

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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…

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 …

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