Payer Issues Archives - Page 75 of 161 - Becker's Payer Issues

Humana laying off 1,100+ | CPT codes behind most 'No Surprises' disputes | Aetna snags N.C. state contract from BCBS | Lawsuit between UnitedHealth, former execs closes quietly | BCBS companies form drug contracting group

January 5, 2023 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Humana laying off over 1,100 associates, shuttering all SeniorBridge locations Full story 2. Aetna snags major North Carolina state employee contract from BCBS Full story 3. BCBS companies form medication contracting…

Should Elon Musk buy Oscar, Bright Health? | Payers, providers that see the most out-of-network disputes | Within days, hospital access crumbles in Calif. | Centene boosts outlook after Medi-Cal contract reversal | Ga. launches insurance portal

January 4, 2023 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. 10 payers that are involved in the most No Surprises Act disputes Full story 2. 10 parties that initiate the most No Surprises Act disputes Full story 3. Which healthcare company…

Calif. awards more Medicaid contracts | UnitedHealthcare names regional CEO | CMS cracks down on MA TV ads | 16 payer exec moves in Dec. | BCBS Tenn., Methodist Le Bonheur split | Former Apple CEO joins MA plan | Amazon inches closer to One Medical buy

January 3, 2023 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. 16 payer exec moves in December Full story 2. In major reversal, California awards additional Medicaid contracts Full story 3. UnitedHealthcare names CEO of employer, individual plans for 15 states Full story 4. The…

Bright Health's challenges continue to mount | 50 drugs with biggest price cuts from Mark Cuban's pharmacy | N.C. could be model for Medicaid redeterminations | TikTok video prompts N.Y. hospital probe | 4 payers among best IT workplaces

December 29, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Bright Health's challenges mount in late 2022 Full story 2. North Carolina's Medicaid disenrollment process could be model for other states as redeterminations loom Full story 3. 50 drugs on…

States' public plans aren't working | Dr. Sachin Jain on the future of MA | ACA coverage hits 11.5M | Nurses confront hospital president over paid leave | 20 recent CMS moves | Medicare Part B premiums, deductibles set to fall: 7 things to know

December 28, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Q&A with SCAN Group CEO Dr. Sachin Jain on future of Medicare Advantage Full story 2. ACA marketplace coverage hits 11.5M Full story 3. Why 3 states' public options are…

8 prior auth updates in 2022 | Why Springfield Clinic launched its own health plan | Lawsuit: Former Centene execs defrauded Medicaid | 52% think PHE still needed | Humana, TriWest tapped for $136B Tricare contracts

December 27, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. 8 prior authorizations updates in 2022 Full story 2. 'We've got to serve our community': Why Springfield Clinic launched its own health plan Full story 3. Lawsuit alleges former…

States push for PHE's end | Americans want more price transparency laws | Payers should withstand inflation: Fitch | Can hospitals compete with CVS, Walgreens? | UnitedHealth Group's 2022 in 10 headlines | Top-rated commercial plans nationwide

December 21, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Citing Medicaid misery, 25 governors push for PHE's end in April Full story 2. 6 in 10 Americans say more price transparency laws should be 'top priority' for Congress Full story…

Centene spent $307M on overbilling settlements in 2022 | $1.7 trillion omnibus bill: 8 healthcare takeaways | Medicaid eligibility reevaluations could start in April | Elevance sells $76M campus | Calif. system could split from 3 big payers

December 20, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Centene spent $307.5M to settle state overbilling allegations in 2022 Full story 2. Medicaid eligibility reevaluations could begin in April Full story 3. Congress' last-minute $1.7 trillion omnibus package:…

New price transparency rules take effect Jan. 1 | BCBS Miss., UMMC end contract dispute | Centene projects $137M in '23 revenues | Mayo billing draws scrutiny | BCBS Mass. adds health equity to provider contracts | 6 Optum provider purchases

December 19, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. New payer price transparency rules take effect Jan. 1 Full story 2. Centene expecting $137M in revenue in 2023 Full story 3. BCBS Mississippi, UMMC end bitter dispute Full story…