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Payer Issues

Surprise billing determinations to partly resume | Walmart Health adds executives | Humana's group exit shows allure of govt. markets | Inside Ark.'s Medicaid speed-run | Where Ozempic prescriptions are surging | MA declining in 3 states

February 27, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Some No Surprises Act payment determinations to resume Full story 2. What Humana's employer coverage exit shows about government programs' allure Full story 3. Walmart Health makes 3rd executive appointment this…

4 changes needed beyond price transparency | Payers ranked by '22 MA growth | 16 systems partnered with One Medical | Insurers lead latest CEO trend | Aetna preps for N.C. employee plan takeover | 6 payer market exits to note

February 24, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 4 measures needed to create shoppable healthcare beyond price transparency Full story 2. Payers ranked by Medicare Advantage membership growth in 2022 Full story 3. 16 health systems that partner with…

Humana to exit employer group insurance business | MA enrollment tops 31M | Kaiser shifting 1,200 jobs out of HQ | Sens. continue 'junk' health plan fight | Feds close healthcare-sharing ministry

February 23, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Humana to exit employer group insurance business  Full story  2. Medicare Advantage enrollment tops 31 million  Full story 3. Why a Medicaid error in Tennessee could place you on…

UnitedHealth buys LHC Group | Cigna blocks former exec from new CVS role | Amazon closes One Medical deal | MA growth slows | 6 million children could lose CHIP coverage during redeterminations | States ranked by HDHP use

February 22, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth purchases LHC Group Full story 2. Cigna's temporary restraining order bars former exec from starting CVS job Full story 3. Amazon closes One Medical deal Full story 4. From equity to…

4 major prior auth changes proposed by CMS | Payers' role in the Ozempic shortage | Cuban to partner with independent pharmacies | The best US hospital, per ChatGPT | The secret to building a 5-star MA plan | 8 Elevance Health updates

February 21, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. The major changes payers face from CMS' proposed prior authorization reform Full story 2. The insurance side of the ongoing Ozempic shortage Full story 3. Mark Cuban's low-cost pharmacy to partner…

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Top 10 payers in 2023 | Most Medicaid members don't know about redeterminations | Payers, HHS spar over MA policies | Why Walgreens is shifting from pharmacies to physicians | Inside the new health equity strategy at BCBS Tenn. | 7 UnitedHealth updates

February 20, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. The 10 best health insurance companies of 2023 Full story 2. A majority of Medicaid members still don't know about redeterminations Full story 3. How Walgreens shifted its focus from pharmacies…

3 'overpaid' payer CEOs | UnitedHealth-LHC deal closing looms | MA members need less healthcare savings: Report | 5 payers conducting layoffs | Lawmakers want MA reforms | Moderna promises $0 COVID vaccines | Optum hits 70k physicians

February 17, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 10 'overpaid' CEOs in healthcare features 3 payers Full story 2. Medicare Advantage enrollees need less retirement savings for healthcare costs: Report Full story 3. LHC Group to delist from…

Cigna gets restraining order in CVS noncompete case | SelectHealth names CEO | 30+ payers among nation's best employers | Payers ranked by 2022 Medicaid membership | CommonSpirit posts $451M loss | Optum provides better care than FFS Medicare: Study

February 16, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna gets temporary restraining order in executive noncompete suit Full story 2. 30+ payers on Forbes' list of best employers in 2023 Full story 3. Intermountain's SelectHealth names president and CEO Full…

Payers with the most commercial members | Health system CIOs weigh in on CVS' Oak Street buy | 20% of payers hiring for Medicaid redeterminations | Meet the Cigna Group's exec team | Hospitals' looming Medicare cut | 8 recent payer exec moves

February 15, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Big payers ranked by commercial enrollment in 2022 Full story 2. 'A waste of $10B': Health system CIOs on CVS' Oak Street buy Full story 3. 8 payer exec moves since…

BCBS Minn. lays off 80 | Payers with the most MA members | Cuban's pharmacy may save US $1.2B: Study | UnitedHealth: Millennials have unprecedented utilization rates | 7 best 3rd-party payer tools in '23 | 10 Cigna updates

February 14, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Big payers ranked by 2022 Medicare Advantage membership Full story 2. BCBS Minnesota lays off 80 Full story 3. Millennials with chronic health conditions have higher utilization rates than older generations:…

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