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Payer Issues

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…

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…

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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…

Is Texas' gold card rule worth its weight? | NC reaches Medicaid expansion deal | Humana, Aledade partner on senior care | Oak Street posts $510M loss | States ranked by 2023 MA enrollment

March 3, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Texas' gold card prior authorization rule not worth its weight so far Full story 2. Walmart Health to add 28 new clinics by 2024 Full story 3. North Carolina lawmakers reach…

Feds open another PBM probe | BCBS Mich. posts $777M loss in 2022 | Who spent $1M to disparage a hospital? | Viewpoint: MA audits don't go far enough | 22 US hospitals among Newsweek's 100 best in world | 20 things to know about SNPs

March 2, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. BCBS Michigan posts $777M loss in 2022 Full story 2. Feds open another probe into PBM practices Full story 3. 20 things to know about the fastest growing form…

Biden to GOP: Don't touch federal insurance dollars | Bright Health's future in question | Apple wants to change physician, patient behaviors | MA margins far outpace other markets: Report | Cuban nets 2 million customers | CareSource, Walmart partner

March 1, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden to GOP: Don't touch federal insurance dollars Full story 2. Bright Health has 'substantial doubt' about company's future, posts $669M Q4 loss Full story 3. Medicare Advantage gross margins per enrollee…

MA members more likely to avoid hospitalization | BCBSA: Site-neutral Medicare payments could save nearly $500B | The 'reimbursement wars' keeping hospital execs up at night | What does Gen Z consider a high starting salary? | 15 exec moves in February

February 28, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 15 payer exec moves in February Full story 2. Medicare Advantage members less likely to be hospitalized, more likely to be shifted to other care: Study Full story 3. Medicare…

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