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Payer Issues

50 things to know about Optum | Is price transparency lowering costs? | CMS floats physician, outpatient rules: 15 notes | 25 payers on Threads | 7 recent exec moves

July 17, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. 50 things to know about Optum Full story 2. Payers' price transparency data has been available for a year. Is it lowering costs? Full story 3. 7 payer exec moves…

UnitedHealth posts $5.5B Q2 profit | Ozempic demand driving up premiums | CMS pitches price transparency changes | How the 'Amazon effect' is changing the insurance industry | 7 MA updates

July 14, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. UnitedHealth Group posts $5.5B profit in Q2 Full story 2. Ozempic demand is driving up care costs nationwide Full story 3. CMS considers hospital price, data transparency changes in 2024 Full…

The ongoing BCBS reshuffle explained | Lawmakers push more price transparency bills | Many MA members financially unstable: Humana | Why CVS, Optum spent $17B on home care | Johns Hopkins rebrands insurance plan

July 13, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Why Blue Cross Blue Shield companies are reorganizing Full story 2. Many Medicare Advantage beneficiaries report financial instability, food insecurity: Humana report Full story 3. House committee advances price transparency,…

The limit to weight loss drugs, per Prime Therapeutics | Johns Hopkins enacts MyChart fees | What Centene's CEO learned in year 1 | ACA risk adjustment payments on rise | 10 Medicaid updates

July 12, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Prime Therapeutics: Majority of patients stop taking weight loss drugs after 1 year Full story 2. What Centene CEO Sarah London learned in her 1st year on the…

Payers pitch rate hikes amid Ozempic spike | The unhealthiest county in each state | Medicaid affected in Anthem, Bon Secours pay fight | CVS-owned pharmacy to lay off 195 | 11 UnitedHealth updates

July 11, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Demand for Ozempic contributing to rising premiums in Michigan Full story 2. UnitedHealth Group in the headlines: 11 updates Full story 3. The unhealthiest county in each US state | 2023 Full story…

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Employers sue for claims data | 16 payers among nation's 'greatest workplaces' | Judge pauses Aetna's NYC MA plan | Optum Everycare CEO exits | The healthiest county in each state

July 10, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Employers are increasingly suing their health plan for claims data Full story 2. Judge temporarily blocks Aetna Medicare Advantage plan for NYC retirees Full story 3. 16 payers among America's…

Biden takes aim at 'junk' plans | FDA clears Leqembi | 6 MA study findings | Ark. systems splits with UnitedHealthcare | 4 Google healthcare job openings

July 7, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Biden proposes 'junk' insurance plan crackdown Full story 2. What 6 recent studies found about Medicare Advantage Full story 3. Medicare will cover Alzheimer's drug Leqembi: 5 things to know Full story…

Idaho drops Optum for Centene | Ohio eyes Medicaid work rules | Eli Lilly crowned world's largest healthcare co. | Inside Elevance's suicide reduction program | 10 key Cigna updates in '23

July 6, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Idaho drops Optum, awards $1.2 billion behavioral health contract to Centene Full story 2. Ohio seeking Medicaid work requirements Full story 3. Eli Lilly overtakes UnitedHealth Group as world's…

Kraft sues Aetna for claims data | CMS floats home care pay cut | No Ozempic before surgery: New guidance | 10 states with largest employee health plans | 7 prior auth updates in '23

July 5, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. Kraft Heinz sues Aetna for alleged claims data mismanagement Full story 2. States with the largest employee health plans Full story 3. CMS floats 2.2% cut to home health payments…

What makes the top health plans unique? | 35 exec moves in June | BCBS Assoc. sues company for blue cross logo | Why Oscar posted its AI research | Centene CEO: Behavioral costs rising

July 3, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. What makes the health plans top-rated by their members unique? 8 executives explain Full story 2. 35 payer exec moves in June Full story 3. BCBS Association sues Texas…

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