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Payer Issues

The future of MA, as AHIP's president sees it | What's next for payers' pricing data? | Hospitals' worst year since COVID | Most disenrolled from Medicaid find coverage within a year | Can Calif. deliver on Medi-Cal reform? | 8 UnitedHealth updates

January 30, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Q&A with AHIP President Matt Eyles on the future of Medicare Advantage Full story 2. 'Our job is much bigger than just publishing rates': The steps ahead for payers'…

States eye prior auth reforms | Cigna sues exec headed to CVS | FTC still probing UnitedHealth-LHC deal | Expect more Optum-hospital deals this year | Payers ranked by employee wages | Calif. inmates to get Medicaid | 5 new payer partnerships

January 27, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Majority of states looking to regulate prior authorization this year Full story 2. Cigna sues top exec following departure to CVS Full story 3. FTC reportedly looking at vertical harm theories around…

The PBMs that defied Mark Cuban's doubts | UnitedHealth invests in Appalachia | Cleveland Clinic rarely bills for MyChart | Elevance to add $4.5B revenue with La. buy | Payers with best work-life balance | ACA enrollment at record 16.3M

January 26, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Meet the 3 PBMs partnered with Mark Cuban's pharmacy Full story 2. UnitedHealth Group puts $10M behind SDOH in Appalachia Full story 3. 'A strategic acquisition': Elevance Health to see $4.5B…

Elevance posts $949M Q4 profit | Payers facing the largest MA clawbacks | BCBS plans push for site-neutral payments | Blue Shield Calif. lays off 373 | Boston Med CEO to lead Mass. HHS | AI could save payers billions: McKinsey | 7 Optum updates

January 25, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Insurers that face the largest potential Medicare Advantage clawbacks Full story 2. Elevance Health posts $949M profit in Q4 Full story 3. Site-neutral payments central to BCBS Association’s $767B savings…

Insurtechs face uncertainty in 2023 | Elevance to buy BCBS La. | FCC OKs Medicaid robocalls | CVS refreshes executive team | Amazon launches Prime for prescriptions | AHIP's 2023 State of the Industry: 7 notes

January 24, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. The elephant in the room: 'Insurtechs' aren't working Full story 2. Elevance Health to acquire BCBS Louisiana Full story 3. FCC OKs Medicaid robocalls Full story 4. 5 ways to help your…

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MA scrutiny intensifies in 2023 | Lawmakers go after UPMC | Woman shoots, kills husband in Fla. hospital | NC rejects BCBS, UnitedHealth appeals of state health plan award | McKinsey's payer predictions through 2026 | 9 payer workforce moves

January 23, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Why 2023 could bring big Medicare Advantage challenges for payers Full story 2. Lawmakers go after UPMC Full story 3. Half of patients with HDHPs have received a surprise medical bill Full…

Optum, CVS, Walgreens: Inside the primary care battle | UnitedHealth's new behavioral benefits | BCBS Minn. cuts ties with Amerigroup | 10 systems with strong finances | It's time to end 'magical thinking' in healthcare

January 20, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. The primary care battle: Where Optum, CVS, Walgreens stand Full story 2. Dr. Sachin Jain: It's time to end 'magical thinking' in healthcare Full story 3. UnitedHealthcare launches new virtual behavioral…

The largest physician employer in America | Hospital access meltdown persists in Calif. | Q&A with Point32Health CEO | Trinity leans into virtual nurses | Best healthcare workplaces in 2023 | 10 MA updates

January 19, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. America's largest employer of physicians: UnitedHealth Group Full story 2. Medicare Advantage in the headlines: 10 recent updates Full story 3. 'Patients are going to die': Hospital access meltdown in…

MA enrollment hits 30M | Express Scripts names new president | ACO REACH expanding in 2023 | Cleveland Clinic expects $200M loss | Healthgrades' 50 top hospitals | UnitedHealth named world's largest insurer

January 18, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Medicare Advantage enrollment hits record 30 million Full story 2. 'Deeply touching and … disturbing': CMS hears from providers amid proposed prior authorization changes Full story 3. Evernorth names Express Scripts…

16 exec moves in 2023 | Optum eyes big value-based care boost | Calif. sues major PBMs | No big 'tripledemic' effect on costs, UnitedHealth says | 100 largest hospitals, systems in US | Jefferson to trim exec jobs | 6 Cigna updates

January 17, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 16 payer exec moves since Jan. 1 Full story 2. 100 of the largest hospitals and health systems in America | 2023 Full story 3. 'Tripledemic' had no major impact on…

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