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Payer Issues

19 Tenet hospitals sue Cigna | 8 top payers for diversity | Scrutinize payer mergers, AMA tells feds | 1st human bird flu case found in US | 7 Qs with Priority Health's 1st equity exec | Calif. physician sentenced in $12M Medicare fraud scheme

April 29, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 8 payers named among America's best employers for diversity Full story 2. Black women are leading the charge toward health equity in the payer sphere Full story…

Providence Health Plan seeks 6 C-suite leaders | Molina's Q1 profit up 10% | MA plan prior auth denials concerning: OIG | Former Centene exec joins health tech startup | CMS finalizes ACA plan standardization | Tenet sues OSHA to block inspection

April 28, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. New CMS rule aims to make ACA coverage more accessible, affordable Full story 2. Molina's 10% income boost in Q1: 5 things to know Full story 3. How…

Texas orders payer to stop operations | Highest-paid payer CEOs | Centene updates leadership structure | Humana Q1 profit: $930M | Fauci: US 'out of pandemic phase' | UnitedHealthcare to change radiation prior auths

April 27, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Highest-paid payer CEOs in 2021 Full story 2. Humana's 16% revenue growth in Q1: 7 things to know Full story 3. Texas orders payer to cease all operations Full…

UnitedHealth's founder to retire from board | Centene's Q1 profit: $852M | Walmart heir creates health system | BCBS exec joins digital health startup | Ill. expands Medicaid | Can states find sustained success with public options?

April 26, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group founder to retire from board of directors Full story 2. Blue Cross Blue Shield exec tapped for new role at digital health start up Full story…

UnitedHealth quietly buys Ore. medical groups | Kaiser exec defends Medicaid deal | Bright Health CEO's compensation: $180M | Physician indicted in $10M fraud scheme | 5 conditions make up 50% of health costs | 7 payers with best staff wellness programs

April 22, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group quietly buys Oregon medical groups Full story 2. The value of wearing a mask when others don't Full story 3. Bright Health's CEO received a $180M…

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Humana to sell $2.8B stake in hospice arm | Payers all in on equity chiefs | 5 payer exec moves | UnitedHealth accused of inflating drug costs | 21 charged in $149M COVID fraud schemes | COVID admissions up in 20 states

April 21, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Humana sells 60% stake in Kindred at Home to private equity firm Full story 2. COVID-19 hospitalizations up in 20 states Full story 3. Louisiana attorney general…

Anthem posts $1.8B profit, faces backlash over unpaid claims | Kaiser, Cigna ink deal | Physician not guilty of 14 counts of murder | BCBS Minn. adds 4 execs | States ranked by percent of workers with HDHPs | Health plan exits Conn.

April 20, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem's $1.8B 1st quarter: 11 things to know Full story 2. Anthem under fire for millions in unpaid claims Full story 3. Jury acquits Ohio physician accused of…

Opposition mounts against Kaiser's Medicaid deal | CMS' new inpatient pay rule: 10 details | Top cancer hospitals slap markups on drugs | Bright Health's legal, financial woes intensify | Anthem ordered to pay $4.5M over ER billing

April 19, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Payers speak out against Kaiser's special California Medicaid plan Full story 2. Anthem ordered to pay $4.5M to Indiana hospitals over ER billing issues Full story 3. Supreme…

Kaiser restructuring health plan in 2 states | 14 top paid healthcare CEOs | Centene board member resigns | Hospitals with most Medicare Advantage patients | States that restrict payer collection of race, ethnicity data

April 18, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene board member resigns over dispute with leadership Full story 2. Anthem sued for alleged 'inconsistent' claims processing Full story 3. Kaiser to restructure Colorado, Washington operations Full story…

Bright Health to exit 6 states | CMS revises surprise-billing arbitration | Largest commercial payer in each state | 10 places COVID cases may jump most | 12 UnitedHealth, Centene updates | ACA's 5 most popular provisions

April 15, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Bright Health to exit 6 states Full story 2. Biden has yet to toss short-term health plans he called 'junk' Full story 3. The largest commercial payer in…

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