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Payer Issues

Layoffs hit Optum | NYC judge blocks Aetna MA contract | UnitedHealth gets OK to acquire UK company | States push back on insurers' proposed rate hikes | 6 prior auth updates

August 14, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Layoffs hit Optum Full story 2. NYC judge blocks $15B Aetna Medicare Advantage contract for city retirees Full story 3. UnitedHealth gets provisional OK to acquire UK company Full…

DOJ eyes UnitedHealth-Amedisys deal | 36 states fall short on Medicaid unwinding | Cano to cut 17% of workforce | AdventHealth sues MultiPlan for alleged price fixing | Amazon, CVS face off on senior care

August 11, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. UnitedHealth-Amedisys deal facing antitrust review from Justice Department Full story 2. 36 states are falling short on Medicaid redetermination compliance, HHS says Full story 3. 'Like a mafia enforcer for…

The future of health insurance, per 19 execs | UnitedHealth to mentor 10 more startups | Healthcare M&A hits a low | Payers ranked by Medicaid membership | Ga. hospital sues Cigna

August 10, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. What does the future hold for the health insurance industry? 19 executives explain  Full story 2. Healthcare M&A hits 3-year low Full story 3. 10 digital health startups tapped…

Payer mix in the largest for-profit systems | Why a UnitedHealth employee joined the Bachelorette | 7 ways payers are containing GLP-1 costs | Counties with the highest, lowest uninsured rates | The 3% raise is no longer enough

August 9, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Why this UnitedHealth Group employee joined the Bachelorette Full story 2. 7 ways health plans are containing weight loss drug costs Full story 3. Payer mix in the nation's largest…

Elevance taps new CFO | 3 payers reverse policies after pushback | SD system drops all MA plans | Weight loss drugs boost payers' pharmacy lines | 10 UnitedHealth updates

August 8, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. 3 payers halting policies after pushback Full story 2. Elevance Health names new CFO Full story 3. South Dakota health system drops all Medicare Advantage plans Full story 4. There's a…

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Optum names new president | HHS loses another No Surprises lawsuit | Humana reverses prior auth policy | US hits record uninsured rate | 10 Medicaid updates

August 7, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Optum reshuffles leadership, names president Full story 2. HHS loses another No Surprises Act Lawsuit Full story 3. Majority of adults think insurers should cover weight loss drugs:…

Weight loss drug coverage hits a wall | Payers ranked by Q2 profits | CVS job cuts have unclear effect on Aetna | CEO role loses luster | 9 Medicare Advantage updates

August 4, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Health plans are dropping weight loss drugs like flies Full story 2. Big payers ranked by Q2 profits Full story 3. CVS Health is cutting 5,000 jobs. Its effect on…

Cigna posts $1.5B Q2 profit | Lawmakers propose MA gold-carding | Job cuts hit the C-suite | Has Medicaid unwinding been too chaotic? | UnitedHealthcare puts $11M behind SDOH

August 3, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Cigna Group posts $1.5B profit in Q2, boosts year-end earnings Full story 2. Representatives unveil Medicare Advantage gold-card legislation Full story 3. Job cuts reach the C-suite Full story 4. Organizations are…

DOL sues UnitedHealth over claims denials | CVS + Humana post Q2 earnings | Payers ranked by Part D market share | CMS to boost hospital pay 3.1% | Centene loses 263K Medicaid members

August 2, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. US Labor Department sues UnitedHealth Group over emergency claims denials Full story 2. CVS Health profits drop 37% in Q2 amid restructuring Full story 3. Humana posts $959M profit in…

UnitedHealth's prior auth cuts begin Sept. 1 | CVS Health to cut 5,000 jobs | 15 best payers for women | 23 exec moves in July | US News: No. 1 hospitals by state

August 1, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. UnitedHealthcare's prior authorization cuts to begin Sept. 1 Full story 2. CVS Health to cut 5,000 jobs Full story 3. 23 payer exec moves in July Full story 4. There are 5…

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