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Payer Issues

22 exec moves in June | 'We've normalized the abnormal' in healthcare billing | Walgreens taps clinical trial partner | AMA urges oversight of AI in prior auth | Optum home care linked to better MA outcomes: Study

June 15, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts  •   MyBHC 1. 'We've normalized the abnormal': Dr. Sachin Jain on insurer billing practices Full story 2. 22 payer exec moves since June 1 Full story 3. Walgreens taps clinical trial partner as…

Medical costs are up: UnitedHealthcare exec | Empire BCBS rebranding | MA overpayments could exceed $75B in '23 | CMS to states: Slow down redeterminations | Centene completes AI platform sale

June 14, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Medical costs are up, UnitedHealthcare exec says  Full story 2. Empire BlueCross BlueShield rebranding as Anthem  Full story  3. Medicare Advantage overpayments could exceed $75B in 2023, study finds …

Why Centene is selling non-core businesses | Becerra 'deeply concerned' over Medicaid losses | Disenrollments top 1 million | Payers crack down on Ozempic prescriptions | Mass. payer facing 4 suits over data breach

June 13, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Why Centene is selling off non-core businesses  Full story 2. HHS secretary 'deeply concerned' about procedural Medicaid losses  Full story  3. Medicaid disenrollments top 1 million  Full story  4. Payers,…

HHS nears ACA preventive coverage deal | NYC halts Aetna MA plan | All eyes on Medicare for weight loss drug coverage | AHA: Payers burdening physician-owned practices | 10 UnitedHealth updates

June 12, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Weight loss drugs and CMS coverage: Why all eyes are on Medicare Full story 2. HHS nears deal to preserve ACA preventive care mandate Full story 3. UnitedHealth Group in the…

Payers' AI use in Senate spotlight | CMS to pilot primary care revamp | 13 payer leaders' best Medicaid unwinding advice | UnitedHealthcare, Cigna halt policies after pushback | Anthem BCBS, Bon Secours Mercy at odds over payments

June 9, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Federal lawmakers concerned AI gives payers 'new ways to deny care' Full story 2. 13 payer leaders' best practices for Medicaid redeterminations Full story 3. CMS to pilot value-based primary care…

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CMS 'in talks' about obesity drugs | 6 payers with best leadership | Fitch: Insurer headwinds mounting in '23 | BCBS Hawaii responds to exec pay pushback | 10 Medicaid updates

June 8, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. FDA commissioner: Agency, CMS discussing Medicare weight loss drug coverage Full story 2. 6 Fortune 500 payers earn top marks for leadership Full story 3. Fitch: Large payer finances stable, but…

Aetna, Optum face 'dummy code' class action | Friday Health sued by former COO | Humana opens 250 senior care centers | Empire BCBS CEO tapped for top Elevance role | How major payers compare on price transparency

June 7, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Judge certifies class action in Aetna, Optum 'dummy code' lawsuit Full story 2. As Friday Health falters, its former COO sues over alleged unpaid severance Full story 3. Elevance Health taps…

Former Cigna exec barred from CVS | 15 payer CEO moves in '23 | High copays linked to lower weight loss drug use | Inside Kaiser's health plan growth | 4 payers exit Colo.

June 6, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna gets court order barring former executive from taking CVS role Full story 2. 15 payer CEO moves in the 1st half of 2023 Full story 3. Higher copays linked…

Optum pitches Amedisys merger | Fortune 500's top 5 payers | CMS vaccine rule officially over | Aetna's former CMO to advise weight loss startup | Google, Humana partner on insurance cards

June 5, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Optum pitches merger with home-health provider Amedisys Full story 2. Fortune 500's top 5 payers | 2023 Full story 3. HHS finalizes end of COVID-19 vaccination rule Full story 4. CommonSpirit, Intermountain and…

Friday Health shutters | Ford sues BCBS over antitrust claims | UnitedHealthcare's new GI policy: 7 details | How big payers compare on price transparency | 7 MA updates

June 2, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Friday Health Plans shutting down Full story 2. Ford revives antitrust conspiracy claim against BCBS in new lawsuit Full story 3. UnitedHealthcare's new GI procedure advance notification policy: 7 details Full story 4. Only…

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