Payer Issues Archives - Page 94 of 168 - Becker's Payer Issues

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…

Recession-proofing in heyday of HDHPs | DOJ cracks down on MA plans | 16 execs at top of UnitedHealth | Prisma tech dead, patient charged | Family complaint changes Cigna formula coverage | No transgender policy exclusions, court rules

June 7, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Justice Department cracking down on fraudulent Medicare Advantage coding, billing Full story 2. Prisma Health employee dead after patient altercation Full story 3. Federal court rules employers cannot deny transgender health…

Medicare hospital fund to run dry in 6 years | BCBS Minn. taps CFO, COO | Tulsa gunman targeted surgeon he blamed for pain | FTC sues to block 2 hospital deals | Payers planned $1B in premium rebates

June 3, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Medicare hospital trust fund projected to fall short by 2028 Full story 2. Tulsa gunman targeted surgeon he blamed for pain Full story 3. Commercial payers expected to pay $1B this…

7 dead in hospital campus shootings | Insurers shun weight-loss drugs | BCBS exec leaves for startup | U of Iowa Health ups rates 6% | Hospital seeks $6M in damages from Aetna | A new managed care experiment in Calif.

June 2, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. 5 dead in Oklahoma hospital campus shooting Full story 2. 2 dead after shooting at Ohio hospital Full story 3. As some Maine providers drop Anthem, others join Full story 4. Improve…

UnitedHealthcare, WakeMed split | Highmark posts $150M loss | 40 payer exec moves | Kaiser to study shootings like preventable disease | Patients left hanging in BCBS, Springfield Clinic fallout | Feds sue Ga. payer | CareMax to buy Steward's value line

June 1, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. UnitedHealthcare, WakeMed terminate contract Full story 2. Kaiser Permanente to establish gun violence research center Full story 3. Labor Department sues Georgia payer over alleged ERISA violations Full story 4. Is diabetes actually…

Hospital revenues plummet | HHS: No lower Medicare Part B premium in 2022 | Aetna faces class-action suit | Centene sheds office space | U of Vt. Health, UnitedHealth ink contract | Is Maryland's all-payer model replicable?

May 31, 2022 BHR Newsletter Virtual Events • Webinars • Whitepapers • OnDemand Learning • Podcasts 1. Hospital revenues plummet Full story 2. Judge greenlights class action against Aetna over alleged disability benefits clawbacks Full story 3. Lower Medicare Part B premium won't come until 2023, HHS chief says Full…