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Payer Issues

Cigna's 70% boost in profits | What we've learned from payer price data | Payer, hospital relations are worsening | 26 payers entering, exiting markets | Medicare members aren't switching plans | The most-liked insurers in 2022 | 8 Centene headlines

November 3, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. What we've learned so far from payer price transparency data Full story 2. Cigna Q3 profits up 70% Full story 3. 78% of hospitals say their relationships with payers are getting…

CMS' 4 final payment rules: 15 takeaways | CVS chalks up Q3 loss to $5B opioid settlement | Humana's $1.2B Q3 | ACA call center workers strike | 2,273 hospitals dinged for readmissions | BCBS Mass., Caremark partner | 10 providers seeking payer talent

November 2, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CVS Health attributes $3.4B Q3 loss to opioid lawsuit settlement Full story 2. CMS releases 4 final payment rules for 2023: 15 takeaways Full story 3. Top health insurance stories in…

25 payer exec moves | ACA open enrollment begins: 6 key changes | JPMorgan's new healthcare venture team | UnitedHealth, Broward strike deal | Health systems zero in on C-suites | Miss. orders payer to shut down | Aetna, Amedisys partner on MA

November 1, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 25 payer exec moves in October Full story 2. ACA open enrollment period begins: 6 changes to know Full story 3. JPMorgan creates healthcare venture capital team Full story 4. Price transparency requires…

CMS adds Medicare special enrollment periods | Hospital finances set for worst year in decades | Why states are blocking Medicaid home monitoring | Anthem BCBS, Aspirus Health hit contract impasse | How Centene plans to boost MA star ratings

October 31, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS rule change adds Medicare special enrollment periods Full story 2. Hospitals on track for worst financial year in decades Full story 3. State Medicaid offices are blocking home patient monitoring.…

CMS cracks down on MA TV ads | DC official who took Elevance job fired | Optum denies settling with Ohio | UnitedHealthcare expands ACA plans to 22 states | Aetna, Waymark partner in Va. | 14 fastest growing healthcare cos. | 15 MA headlines

October 28, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS cracks down on Medicare Advantage TV marketing Full story 2. OptumRx denies it settled with Ohio in overcharging case Full story 3. DC mayor fires official who took Elevance job,…

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Pa. lawmakers pass prior auth reform bill | Molina's Q3 profits jump 61% | CareFirst, Johns Hopkins ink contract | UnitedHealthcare, Apple extend fitness partnership | Kaiser Permanente's telehealth plans | Elevance expands post-acute program to 15 states

October 27, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Pennsylvania lawmakers pass prior authorization reform bill Full story 2. Molina's 61% net income boost in Q3: 5 notes Full story 3. CareFirst BCBS, Johns Hopkins end dispute, ink contract  Full story…

Walmart Health expands in Fla. | UnitedHealth sells $9B in bonds for Change purchase | CMS seeks input on ending PHE | OptumRx settles Ohio overbilling claim for $15M | Apple Fitness free for Aetna MA members | Fla. Blue adds Amazon Pharmacy

October 26, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth sells $9B of bonds to support Change Healthcare purchase Full story 2. Walmart Health expands Florida footprint Full story 3. CMS seeking input on end of public health emergency Full story…

Humana exiting Colo. group market | Centene posts Q3 profits, names PBM partner | States with most 5-star MA plans | 35 state AGs want PBM regulation | Okla. hospital ends MA contracts | Lawmakers press CareFirst, Johns Hopkins over contract dispute

October 25, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene reports $738M in Q3 profits, selects PBM partner Full story 2. Where to find the most 5-star Medicare Advantage plans Full story 3. Humana reportedly exiting Colorado group market Full story…

Elevance now largest commercial payer, CEO says | 'Money on the table': Study finds negotiated payer prices vary widely | JPMorgan opens primary care centers | Most-liked payer in each region | Fla. Blue, Sanitas partner on primary care | 13 MA updates

October 24, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Elevance Health CEO says company is now the nation's largest commercial payer Full story 2. JPMorgan opens 3 primary care centers in Ohio Full story 3. Payers leaving 'money on the…

Insurers prep for great 2023 coverage shuffle | CMS unveils 340B pay plan | Pfizer eyes $110 COVID shot price tag | 20 top hospitals' payer mix | Providence Health Plan's CEO on building a plan everyone wants

October 21, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Payers prep for the great 2023 shuffle from Medicaid to ACA coverage Full story 2. CMS unveils 340B hospital payment plan after court battle Full story 3. Pfizer eyes $110 COVID…

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