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Payer Issues

15 specialties ranked by payer billings | Centene taps new chairman | Molina's 5 highest-paid execs | 8 Bright Health updates | How payers can prepare for 'year of compliance'

April 5, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 15 specialties ranked by billings to commercial payers  Full story 2. Centene names new board chairman  Full story  3. Molina Healthcare's 5 highest-earning executives  Full story  4. Healthcare could save…

15 payers among 'most innovative' companies | States weigh legal action over ACA preventive care ruling | ACA premiums increased 3.4% in 2023 | Elevance Health's top 5 earners | 4 Ozempic updates | AHIP backs HHS in copay coupon lawsuit | 10 MA updates

April 4, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 15 payers among Fortune's 'most innovative' companies in 2023 Full story 2. California, Michigan consider legislative action to maintain preventive care coverage requirement Full story 3. Medicare Advantage in the headlines: 10…

CVS Health exec returns to UnitedHealth + 22 March payer exec moves | Biden appeals ACA preventive coverage ruling | CMS to phase in MA risk adjustment changes | OIG: Cigna received $6.2M in MA overpayments

April 3, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CVS Health exec returns to UnitedHealth Group  Full story  2. 22 payer exec moves in March Full story  3. Biden appeals Texas ruling tossing range of preventive care…

Medicaid unwinding begins | Texas judge strikes down ACA preventive coverage | CVS-Oak Street deal clears FTC scrutiny | 5 reactions to UnitedHealth's prior auth cuts | 149 Black healthcare leaders to know | Cigna's top 5 earners

March 31, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Medicaid redeterminations begin April 1 Full story 2. Texas judge tosses range of preventive care coverage under ACA Full story 3. CVS' $10.6B deal for Oak Street Health to close after…

UnitedHealthcare cutting prior auth by 20% | States ranked by estimated Medicaid losses | COVID national emergency could end before May | Centene's top 5 earners | 'Netflix-model' payer startup expands | 8 Cigna updates

March 30, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. How many people could lose Medicaid coverage, state-by-state Full story 2. UnitedHealthcare cutting 20% of prior authorizations, creating national gold card program Full story 3. COVID-19 national emergency could end sooner…

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Payers to cut prior auth. requirements | CVS buys Signify | AHA, AHIP challenge False Claims interpretation | How states manage Medicaid staff shortages | Centene names chief people officer | Payers ditch office space

March 29, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'We're not deaf to the complaints': Big payers to cut prior authorization requirements Full story 2. AHA, AHIP urge Supreme Court to reject government's False Claims Act interpretation…

Texas shuts down Friday Health | Former Aetna CEO to lead Oscar | NC expands Medicaid | Ohio sues PBMs for alleged price fixing | Calif. fines Health Net for improperly paid claims | Cigna, Aledade partner on senior care

March 28, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Texas places Friday Health in liquidation Full story 2. Former Aetna CEO to lead Oscar Health Full story 3. 'Modern gangsters': Ohio sues 3 PBMs for alleged price fixing Full story 4. UR…

CVS to close $8B Signify deal | After SVB, regulatory Qs swirl in health insurance | Payers shouldn't subsidize hospitals' investment losses: Economists | Senators question HHS sec. over MA rates | BCBS Minn. leaving HQ | Humana's top 5 earners

March 27, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CVS to close Signify Health deal this week Full story 2. 'They pulled a Silicon Valley Bank': Regulatory questions swirl in health insurance Full story 3. 5 key strategies…

Cigna CEO faces deposition in CVS noncompete case | Tenn. takes over Bright's finances | 'Frivolous' claims bogging down No Surprises arbitration: HHS | FTC wants to tackle more healthcare M&As | Why Medicaid is 'ripe for innovation' | 8 Humana updates

March 24, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Judge: CVS can depose Cigna CEO in executive noncompete case Full story 2. Tennessee takes control of Bright Health's finances Full story 3. 'Frivolous' claims bogging down No Surprises Act judgements,…

Payers lobby against proposed MA rates | Empty CMS parking lot stirs questions | NC treasurer on a mission against payers, hospitals | Bright awards execs bonuses | Why tech talent is headed to Optum | Medi-Cal may soon pay for rent

March 23, 2023 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Payers spending 'buckets of money' lobbying against Medicare Advantage rate changes Full story 2. As Bright Health falters, executives receive big bonuses and private plane rides Full story 3. North Carolina's…

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