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Payer Issues

LHC shareholders opt for sale to Optum | Mayo, UnitedHealthcare reach agreement | Calif. revokes payer's Medicare license | Hospitals see ongoing weaponization of COVID aid | Q&A with Banner|Aetna CEO Tom Grote | CMS urges ACA subsidies extension

June 23, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. LHC Group shareholders green light acquisition by Optum Full story 2. Mayo, UnitedHealthcare reach agreement for Medicare Advantage contract Full story 3. Hospitals see continued weaponization of pandemic aid Full story 4. Burnout…

Molina inks $4.6M false claims settlement | Optum sets out to curb lab tests | Supreme Court denies UnitedHealth appeal | Stop-loss COVID claims skyrocket 354% | 25 healthiest places in US | Centene exec now CEO of US Acute Care Solutions

June 22, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Molina settles claims of MassHealth fraud, improper licensure of healthcare staff for $4.6M Full story 2. Supreme Court rejects UnitedHealthcare appeal of Medicare Advantage overpayment rule Full story 3. Optum launches…

Mark Cuban + Medicare drug contract would save $3.6B | Home health firms to lose $810M | Ill. payers must cover glucose monitors | BCBS of Texas denied $3M tax refund | BCBSA's new Chicago HQ | Walgreens, Buckeye Health Plan's new Health Corners

June 21, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Mark Cuban's generic drug pharmacy would save Medicare billions of dollars: Harvard researchers Full story 2. Home health firms to lose $810M in Medicare payments: 6 home health CMS…

FTC cracks down on PBM rebates | Centene ditching 65% of its real estate | HCA, Steward scrap deal | CVS Health's new strategy exec | Report: Single-payer would have saved thousands of lives, billions of dollars during COVID| Cigna's $3.5B stock buyback

June 17, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. FTC warns PBMs about unlawful drug rebate practices through new enforcement policy Full story 2. Centene to reduce real estate footprint by 65% Full story 3. HCA, Steward make for 2nd…

Soon-to-be renamed Anthem launches more brands | Best, worst states for healthcare amid COVID | 340B pay cut overturned | Vision plans ranked by customer satisfaction | HDHPs linked to delayed cancer detection

June 16, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem launches 2 new subsidiaries under Elevance Health Full story 2. The best and worst states for healthcare during COVID-19 Full story 3. US Supreme Court overturns $1.6B 340B payment cut Full…

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FTC investigates Cerebral | NJ systems scrap merger | UPMC building $1.5B hospital | CMS weighs Medicaid nursing home change | Study: Payers struggle with digital | Lawsuit seeks coverage of marijuana as behavioral drug | 5 recent payer collabs

June 15, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. FTC investigating Cerebral as payers cut ties Full story 2. CMS considering requirement for Medicaid to primarily fund direct care in nursing homes Full story 3. UPMC breaks ground on $1.5B…

FTC wants more info on Optum-LHC Group deal | 10 hospital exec resignations | Centene settles NM Medicaid probe | OU Health, UnitedHealth cut ties | Optum drops Cerebral | Anthem BCBS Va. president retiring | Hospitals lose Medicare legal challenge

June 14, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. FTC requests more info, extends waiting period for proposed Optum acquisition of LHC Group Full story 2. Centene to pay $13.7M to settle New Mexico pricing investigation Full story 3. Optum…

Why Centene bought a Ritz hotel | Larry Ellison wants a nat'l database via Cerner | Blue Cross Calif. fined $1.1M | Hospitals are failing at cost-cutting | Payers back value-based startup | UnitedHealth names regional CEO | Avg. Medicare spending by age

June 10, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Why Centene quietly bought the St. Louis Ritz-Carlton Full story 2. Larry Ellison wants a national healthcare database with Cerner Full story 3. Blue Cross of California fined $1.1M, will reimburse…

Optum's top engineer leaves for startup | CMS starts fining hospitals for unposted prices | Are virtual-first health plans sustainable? | Aetna drops Cerebral | UnitedHealth invests $100M in health equity | CMS: cutting agent commission violates ACA

June 9, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Atlanta system 1st in US to face CMS fines for price transparency violations Full story 2. United Health Foundation investing $100M to create more diverse healthcare workforce Full story 3. Optum's…

FTC to probe PBMs | Viewpoint: HSAs, HDHPs are useless | Providence Health Plan names COO | AHIP requests family glitch fix guidance | 10 hospital CEO moves | Status of 8 No Surprises Act lawsuits | Fla. payer alleges tribal policy scheme

June 8, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. FTC to probe PBM industry practices Full story 2. 10 recent hospital, health system CEO moves Full story 3. AHIP supports ACA 'family glitch' fix, asks for more guidance Full story 4. The…

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