Advertisement

Payer Issues

CMS cracks down on MA TV ads | DC official who took Elevance job fired | Optum denies settling with Ohio | UnitedHealthcare expands ACA plans to 22 states | Aetna, Waymark partner in Va. | 14 fastest growing healthcare cos. | 15 MA headlines

October 28, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS cracks down on Medicare Advantage TV marketing Full story 2. OptumRx denies it settled with Ohio in overcharging case Full story 3. DC mayor fires official who took Elevance job,…

Pa. lawmakers pass prior auth reform bill | Molina's Q3 profits jump 61% | CareFirst, Johns Hopkins ink contract | UnitedHealthcare, Apple extend fitness partnership | Kaiser Permanente's telehealth plans | Elevance expands post-acute program to 15 states

October 27, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Pennsylvania lawmakers pass prior authorization reform bill Full story 2. Molina's 61% net income boost in Q3: 5 notes Full story 3. CareFirst BCBS, Johns Hopkins end dispute, ink contract  Full story…

Walmart Health expands in Fla. | UnitedHealth sells $9B in bonds for Change purchase | CMS seeks input on ending PHE | OptumRx settles Ohio overbilling claim for $15M | Apple Fitness free for Aetna MA members | Fla. Blue adds Amazon Pharmacy

October 26, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth sells $9B of bonds to support Change Healthcare purchase Full story 2. Walmart Health expands Florida footprint Full story 3. CMS seeking input on end of public health emergency Full story…

Humana exiting Colo. group market | Centene posts Q3 profits, names PBM partner | States with most 5-star MA plans | 35 state AGs want PBM regulation | Okla. hospital ends MA contracts | Lawmakers press CareFirst, Johns Hopkins over contract dispute

October 25, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene reports $738M in Q3 profits, selects PBM partner Full story 2. Where to find the most 5-star Medicare Advantage plans Full story 3. Humana reportedly exiting Colorado group market Full story…

Elevance now largest commercial payer, CEO says | 'Money on the table': Study finds negotiated payer prices vary widely | JPMorgan opens primary care centers | Most-liked payer in each region | Fla. Blue, Sanitas partner on primary care | 13 MA updates

October 24, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Elevance Health CEO says company is now the nation's largest commercial payer Full story 2. JPMorgan opens 3 primary care centers in Ohio Full story 3. Payers leaving 'money on the…

Advertisement

Insurers prep for great 2023 coverage shuffle | CMS unveils 340B pay plan | Pfizer eyes $110 COVID shot price tag | 20 top hospitals' payer mix | Providence Health Plan's CEO on building a plan everyone wants

October 21, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Payers prep for the great 2023 shuffle from Medicaid to ACA coverage Full story 2. CMS unveils 340B hospital payment plan after court battle Full story 3. Pfizer eyes $110 COVID…

UnitedHealthcare names Calif. CEO | DOJ wants info on CVS' Signify buy | AMA, AHA challenge surprise billing arbitration, again | Centene jumps into Ga. politics | CareFirst loses DC Medicaid bid | Where 5 payers are reforming prior authorization

October 20, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Regulators seek more info on CVS acquisition of Signify Health Full story 2. AMA, AHA, state medical groups challenge feds — again — over surprise-billing rule Full story 3. UnitedHealthcare names…

Mark Cuban's pharmacy, Vivio partner on specialty drugs | Elevance's $1.6B Q3 | UnitedHealth, Duke spar over Medicaid contract | The largest PBM in each state | UnitedHealth Group expands behavioral network 25% | 12 payer partnerships

October 19, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Elevance Health's $1.6B Q3 Full story 2. Mark Cuban's online pharmacy, Vivio partner on specialty drugs for health plans, employers Full story 3. The largest PBM in every state Full story 4. 35%…

Apple to take up health insurance | The rise + fall of COVID billionaires | DOJ sues Cigna for alleged MA fraud | For payers, addition by COVID subtraction | Updates on Medicaid shakeup in Calif. | The largest payer in each state

October 18, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Apple reportedly launching health insurance in 2024 Full story 2. Lawsuits, challenges and debates: Where California's controversial Medicaid contract process stands Full story 3. 'False and invalid diagnoses': DOJ sues Cigna…

UnitedHealth spending $100M on Change integration | Bill would ban 'Advantage' from Medicare | Optum, UCLA partner on AI | Walmart to sell OTC hearing aids | Best MA plans of 2022 | 14 payers entering, exiting markets

October 17, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group spending $100M to integrate Change Healthcare Full story 2. Progressive lawmakers want to ban payers from selling Medicare Advantage plans under Medicare name Full story 3. Best Medicare Advantage…

Advertisement