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Payer Issues

MA enrollment hits 30M | Express Scripts names new president | ACO REACH expanding in 2023 | Cleveland Clinic expects $200M loss | Healthgrades' 50 top hospitals | UnitedHealth named world's largest insurer

January 18, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Medicare Advantage enrollment hits record 30 million Full story 2. 'Deeply touching and … disturbing': CMS hears from providers amid proposed prior authorization changes Full story 3. Evernorth names Express Scripts…

16 exec moves in 2023 | Optum eyes big value-based care boost | Calif. sues major PBMs | No big 'tripledemic' effect on costs, UnitedHealth says | 100 largest hospitals, systems in US | Jefferson to trim exec jobs | 6 Cigna updates

January 17, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 16 payer exec moves since Jan. 1 Full story 2. 100 of the largest hospitals and health systems in America | 2023 Full story 3. 'Tripledemic' had no major impact on…

UnitedHealth posts $4.9B Q4 profit | 10 cities with worst inflation | BCBS appeals new NC benefits contract | CVS 'disappointed' in MA enrollment | Ill. fines Quartz for mental parity violations | Viewpoint: Optum won't fix hospital finances

January 13, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group posts $4.9B profit in fourth quarter Full story 2. 10 cities hit hardest by inflation Full story 3. BCBS North Carolina appeals decision to award Aetna state health plan…

PHE extended for 12th time | Cuban's pharmacy teams up with 3rd PBM | CMS' new Medicare drug negotiation timeline | 56 best healthcare jobs | ACA enrollment up 13% | UnitedHealthcare names president of individual, family plans

January 12, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. HHS extends COVID-19 public health emergency to April Full story 2. CMS lays out timeline for Medicare drug negotiation provision Full story 3. Mark Cuban's pharmacy partners with 3rd PBM on…

CMS' Medicaid redetermination strategy | Vanderbilt dropping MA plans | MyChart messages decrease when hospitals bill for them | Ky. system sending 500 employees to Optum | BCBS Michigan beats 'Blues Conspiracy' | 50 things to know about MA

January 11, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS outlines Medicaid redetermination strategies for states Full story 2. 50 things to know about Medicare Advantage Full story 3. MyChart message use drops after hospitals start billing for them,…

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UnitedHealth Group names chief innovation officer | Healthcare at its worst: 10 Shkreli awardees | CVS eyeing Oak Street Health purchase | Facilities where most 'No Surprises' disputes happen | Humana boosts MA outlook

January 10, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group names chief innovation officer Full story 2. CVS exploring acquisition of Oak Street Health Full story 3. 10 healthcare names get Shkreli Awards for bad behavior Full story 4. Rising diabetes,…

Rite Aid names former Humana exec interim CEO | Payers with the most remote jobs | BCBS Texas, Ascension could split | Capital Blue Cross ordered to repay denied claims | Why NC chose Aetna over BCBS | 3 HCA execs resign

January 9, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Former Humana exec named interim Rite Aid CEO Full story 2. Payers that offer the most remote positions Full story 3. BCBS Texas, Ascension Texas could split, affecting 66,000 patients Full…

VillageMD closes Summit Health deal | Maine system sends 1,400 employees to Optum | Highmark names insurance president | States where most 'No Surprises' disputes happen | 5 reactions to Medi-Cal contract shuffle

January 6, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. VillageMD completes $8.9B Summit Health buy, Cigna inks minority stake Full story 2. Optum to hire 1,400 employees from Maine health system, take over admin function  Full story 3. Where…

Humana laying off 1,100+ | CPT codes behind most 'No Surprises' disputes | Aetna snags N.C. state contract from BCBS | Lawsuit between UnitedHealth, former execs closes quietly | BCBS companies form drug contracting group

January 5, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Humana laying off over 1,100 associates, shuttering all SeniorBridge locations Full story 2. Aetna snags major North Carolina state employee contract from BCBS Full story 3. BCBS companies form medication contracting…

Should Elon Musk buy Oscar, Bright Health? | Payers, providers that see the most out-of-network disputes | Within days, hospital access crumbles in Calif. | Centene boosts outlook after Medi-Cal contract reversal | Ga. launches insurance portal

January 4, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 10 payers that are involved in the most No Surprises Act disputes Full story 2. 10 parties that initiate the most No Surprises Act disputes Full story 3. Which healthcare company…

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