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Payer Issues

It's time to end PHE: Bloomberg | No Surprises Act's 1st year: 6 updates | Musk's 'prosecute Fauci' tweet draws swift backlash | Unions sue Elevance over claims data access | 4 insurance layoffs in 2022 | 23 best-managed healthcare cos., per Drucker

December 12, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Bloomberg: It's time to end the public health emergency Full story 2. Prior authorization is 'No. 1 physician and administrative concern in America,' senator says Full story 3. 6 things to…

Health systems that won't charge for MyChart messages | How payers streamline prior auth | Employee health benefits costs to rise 5.4% in 2023 | Hospitals may be unknowingly sharing data with Elon Musk | 200,000 Kaiser Hawaii members can now choose BCBS

December 9, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Employer-sponsored health costs to rise 5.4% in 2023: Mercer Full story 2. Kaiser, Virginia Mason, more say they are not partaking in the MyChart charge trend  Full story 3. How…

MyChart message fees live on unstable ground | UnitedHealth's LHC Group buy delayed | Mark Cuban Cost Plus partners with 2nd PBM | 4 reactions to CMS' prior auth pitch | Most competitive commercial markets | 7 payer leaders on 2022 equity efforts

December 8, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth's LHC Group acquisition delayed until 2023 Full story 2. MyChart message fees live on unstable ground Full story 3. Mark Cuban Cost Plus partners with 2nd PBM; hints at insulin…

CMS pitches prior auth reform | 50 states ranked by health | Payers cut ties with Texas home health firm after CEO indicted | 9 MA plans audited for upcoding by HHS | Centene to pay $17M in Ore. Medicaid settlement | Flu activity by state

December 7, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS proposes rule to overhaul prior authorization Full story 2. 50 states ranked by overall health in 2022, per UnitedHealth Full story 3. Humana, BCBS Texas cut ties with San Antonio…

Medicaid may drop 18 million when PHE ends | Why CMS vaccine mandate is no sure thing | UnitedHealth Group CEO outlines growth strategy | Advocate Health names leadership team | Centene invests $8M in Uvalde health center | 10 highest-paid payer CEOs

December 6, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 18 million could lose Medicaid coverage at end of PHE, new estimates show Full story 2. A sign CMS' vaccine mandate is no sure thing Full story 3. UnitedHealth Group CEO…

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Optum projects $214B in '23 revenues | The ins and outs of charges for MyChart messages | UH suspends staff tied to capitol attack | UnitedHealth puts $3M behind nurses | Why 7 payers added new exec roles | Humana boosts MA outlook by 100K

December 5, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Optum expecting $214B in revenue in 2023 Full story 2. The ins and outs of charges for MyChart messages Full story 3. UnitedHealth Group puts $3M behind nurses Full story 4. Rising diabetes,…

UnitedHealthcare projects $276B in '23 revenues | Atrium, Advocate Aurora complete merger | No Surprises Act disputes hit 'logjam' | Fired MetroHealth CEO paid himself for SDOH work | Blue Shield Calif. laying off 300+ | Most competitive MA markets

December 2, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare expecting $276B in revenue in 2023 Full story 2. Atrium, Advocate Aurora complete merger Full story 3. No Surprises Act disputes hit 'logjam' as lawsuit looms Full story 4. Healthcare fraud costs…

UnitedHealthcare loses to TeamHealth again | 3 reasons payers end gold-card programs | Highmark reports $600M in insurance gains | Regence, Optum-owned Everett Clinic at impasse | Fla. Medicaid admin. departs | Where 11 payers are exiting markets

December 1, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare loses to TeamHealth — again — over alleged underpayments  Full story 2. Highmark's insurance business reports $600M in operating gains Full story 3. Insurers end gold-card programs for these…

Rising utilization rates may spell trouble for payers | Humana plans Fla. layoffs | 25 payer exec moves in Nov. | Insurers building IT talent pipelines | UnitedHealthcare, NM system at contract impasse | 3 things hindering alternative payments

November 30, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 25 payer exec moves in November Full story 2. Rising utilization rates may spell trouble for payers Full story 3. Humana initiates layoffs in Florida as it prepares to mostly shutter…

UnitedHealth projects $360B in '23 revenues | Fla. hospital CEO killed in murder-suicide | Calif. hospital files for bankruptcy after Anthem fight | More systems charging for MyChart messages | Least competitive MA markets | 9 payer-provider disputes

November 29, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group expecting $360B in revenue next year Full story 2. Florida hospital CEO shot by husband in murder-suicide, police say Full story 3. California hospital files for bankruptcy following contract…

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