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Payer Issues

Optum hiring laid-off tech talent | Medicaid confusion as payers prep for end of PHE | Cleveland Clinic to bill for MyChart messages | Is Epic's dominance good for healthcare? | Leapfrog's straight-'A' hospitals

November 17, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. As Silicon Valley stalls, Optum sees opportunity for talent Full story 2. Payers are prepping for a PHE wind down, but most Medicaid beneficiaries don't know coverage will end Full…

Anthem scraps $40K bill after patient's TikTok | Providence losses top $1B in 2022 | Counties with most MA plans | 6 payer execs headed to startups | Senate Dems want more MA rules | BCBS Ill. faces class action over denied transgender care

November 16, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem Blue Cross reverses $40K bill after patient appeals on TikTok Full story 2. Providence's operating loss grows to $1.1B for 2022 Full story 3. The 27 counties with the most…

Payer-provider fights get messier | Amazon Clinic debuts | 19 payer exec moves | Record number of MA plans available in 2023 | Aetna's govt. business CFO departs | Google partners with Highmark, Mayo on data projects | 6 recent M&A deals

November 15, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'It's like a shakedown': Payers, providers ditch the hushed voices in their fights Full story 2. Record number of Medicare Advantage plans available for 2023 Full story 3. Amazon Clinic makes…

HHS to extend COVID PHE past Jan. | Eli Lilly loses billions after fake insulin tweet | 6 recent UnitedHealth M&A deals | CVS strategy chief departs | Aetna, Crossover Health launch value-based primary care pilot | 10 health systems with strong finances

November 14, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. HHS to maintain COVID-19 public health emergency past January Full story 2. Eli Lilly loses billions after fake Twitter account promotes free insulin Full story 3. 6 major UnitedHealth Group deals…

8 prior authorization updates | Aetna, Lehigh Valley Health to cut ties | DeSantis taps Broward CEO for transition | Amazon Pharmacy nabs payer contracts | Why BCBS Tenn. ranks among best places to work | 9 payer virtual care moves

November 11, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 8 updates on prior authorization Full story 2. Amazon Pharmacy is scooping up payer contracts Full story 3. UnitedHealthcare names SVP of communications, government programs Full story 4. Healthcare fraud costs the nation…

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Bright Health preps for layoffs | Leaked Amazon video shows new telehealth service | Elevance to buy BioPlus specialty pharmacy | Cigna invests in VillageMD-Summit deal | Oscar posts $194M Q3 loss | Humana execs are ditching Louisville

November 10, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Why Cigna invested in VillageMD's Summit Health acquisition Full story 2. Leaked Amazon video shows new telehealth offering Full story 3. Elevance Health to acquire specialty pharmacy BioPlus Full story 4. Price transparency…

Payers ranked by Q3 profits | UnitedHealth could close on LHC deal in Dec. | SD to expand Medicaid | NC hospital's Medicare contract again at risk | Largest MA payers by state | Q&A: Elevance's 1st health equity chief

November 9, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Big payers ranked by Q3 profits Full story 2. UnitedHealth Group acquisition of LHC Group may close in December: report Full story 3. South Dakota voters expand Medicaid Full story 4. Go beyond…

Pa. inks prior auth reform law | What payer CEOs said about MA in Q3 | Jefferson exec to lead Highmark market | Texas asks Friday Health Plans to leave marketplace | How Kaiser built high-quality health plans | Is MA fraudulent? 7 expert thoughts

November 8, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Pennsylvania prior authorization reform bill signed into law Full story 2. Touting growth, sweating star ratings: What payer CEOs said about Medicare Advantage this fall Full story 3. Texas asks…

Kaiser posts $1.5B Q3 loss | 'Do you not see this as an arms race?' Cigna CEO questioned on M&A | VillageMD buys Summit Health for $8.9B | 'Difficult decisions' loom for hospitals | UnitedHealthcare holds 28% of MA market | CVS expecting $2B revenue hit

November 7, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'Do you not see this as an arms race?' Cigna CEO questioned on M&A activity Full story 2. For hospitals, 'difficult decisions' loom after 9 months of negative margins Full…

3 states take on prior auth reform | Big payer profits recall 'the house always wins' | Cigna spending $200M on Centene PBM deal | Senate panel pushes more MA marketing rules | L.A. Care Health Plan nabs Oscar CMO | States with least competitive markets

November 4, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'The house always wins': Insurers' record profits clash with hospitals' hardship Full story 2. 3 states taking on prior authorization reforms in 2022 Full story 3. Cigna spending $200M to integrate…

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