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Payer Issues

Kaiser's chief digital officer heads to Target | COVID testing lawsuit against Aetna dismissed | J.D. Power ranks payers' telehealth services | Aetna, Emcara partner on Fla. Medicaid | 7 recent M&A deals | 7 payers earn NCQA health equity accreditation

October 6, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Kaiser Permanente's chief digital officer leaves for role at Target Full story 2. Aetna defeats lab's COVID-19 testing lawsuit Full story 3. Payers with the best telehealth services in 2022, per…

CMS: MA premiums to decrease | Judge revives antitrust lawsuit against BCBS Mich. | CVS to sell Bswift platform | HCSC names Medicaid president | 3 payer CEOs among most powerful women, per Forbes | Where 3 payers are expanding behavioral networks

October 5, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS: Medicare Advantage premiums to decrease Full story 2. 25 best-rated Medicare plans in 2022 Full story 3. 3 payer CEOs among Fortune's '50 Most Powerful Women' Full story 4. For many health…

Optum, Change finalize $7.8B merger | BCBS Texas, Southwestern Health ink contract | 8 MA expansions in 2023 | 7 payers join hurricane relief efforts | Q&A: Clover's Health's new CEO | BCBS Mich. selling Advantasure | 13 best Medicaid plans

October 4, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Optum, Change Healthcare complete $7.8B merger Full story 2. Where 8 payers are expanding Medicare Advantage in 2023 Full story 3. 7 payers join Hurricane Ian relief efforts Full story 4. Healthcare fraud…

20 executive changes at insurers | 29-hospital system wants $900M more from BCBS Texas | CBO backs hospital price caps | SC hospitals brace for Ian | Counties with most medical debt | Providence CEO questioned on billing | 9 new payer-provider contracts

September 30, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 20 payer exec moves in September  Full story 2. Southwestern Health Resources seeks $900M increase from BCBS Texas  Full story 3. Congressional Budget Office pitches healthcare price growth cap  Full story 4. 35%…

Payers respond to Hurricane Ian | Florida Blue, BayCare resolve dispute | Texas physician 'gold card' rules to take effect | Centene to pay $14M in Mass. Medicaid settlement | PBM probe is 'top priority' at FTC | 8 payer partnerships

September 29, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 7 payer responses to Hurricane Ian Full story 2. Texas physician 'gold card' rules take effect Oct. 1 Full story 3. Centene to pay Massachusetts $14.2 million in latest Medicaid overbilling…

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Humana, CVS fight for Cano Health | Independence Blue Cross, Penn Med. to co-own Tandigm | Where payers are investing | Medicare Part B premiums, deductibles to go down in 2023 | AHIP: Medicare spending is 7% higher than MA | Horizon NJ to restructure

September 28, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Humana has edge over CVS Health to acquire Cano Health: Report Full story 2. Independence Blue Cross, Penn Medicine partner on value-based care through co-ownership of Tandigm Health Full story…

What Optum gets in Change deal | CMS faces another lawsuit over surprise billing rule | BayCare pauses elective care for Florida Blue members amid dispute | Neb. picks 3 payers for Medicaid contracts | 6 insurance startups to know

September 27, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. What Optum gets in the Change Healthcare deal Full story 2. 2 million Californians may need to switch insurance after Medi-Cal shakeup Full story 3. AMA, AHA, state medical groups…

Humana looking to buy Cano Health | UnitedHealth, Peloton expand partnership | Payers ranked by MA growth | Aetna cancels senior transport contract | When Inflation Reduction Act Medicare changes take effect | Meet the BCBS CEOs in the South

September 23, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Humana reportedly looking to buy primary care provider Cano Health Full story 2. Big payers ranked by Medicare Advantage growth in 1st half of 2022 Full story 3. UnitedHealthcare, Peloton expand…

Aetna deems Aduhelm medically necessary | Uninsured, publicly insured more likely to report negative care experience | BCBS Texas, Amarillo health system to cut ties | McKinsey: MA star ratings to decline in 2023 | Where Medicaid acceptance is greatest

September 22, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Aetna: Aduhelm is medically necessary  Full story 2. Uninsured, publicly insured more likely to report negative care experiences Full story 3. A timeline of UnitedHealth Group's acquisition of Change Healthcare Full…

'Already a 3-headed dragon': Medical groups on UnitedHealth-Change | Optum names chief digital officer | AMA, AHA dropping No Surprises Act suit | BCBS, Texas Health Resources contract to end | Google adds Medicaid search filters

September 21, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'Already a three-headed dragon': Medical groups rebuke judge's approval of UnitedHealth, Change merger Full story 2. AMA, AHA move to dismiss No Surprise Act lawsuit, but concerned about…

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