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Payer Issues

Apple to take up health insurance | The rise + fall of COVID billionaires | DOJ sues Cigna for alleged MA fraud | For payers, addition by COVID subtraction | Updates on Medicaid shakeup in Calif. | The largest payer in each state

October 18, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Apple reportedly launching health insurance in 2024 Full story 2. Lawsuits, challenges and debates: Where California's controversial Medicaid contract process stands Full story 3. 'False and invalid diagnoses': DOJ sues Cigna…

UnitedHealth spending $100M on Change integration | Bill would ban 'Advantage' from Medicare | Optum, UCLA partner on AI | Walmart to sell OTC hearing aids | Best MA plans of 2022 | 14 payers entering, exiting markets

October 17, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group spending $100M to integrate Change Healthcare Full story 2. Progressive lawmakers want to ban payers from selling Medicare Advantage plans under Medicare name Full story 3. Best Medicare Advantage…

UnitedHealth's $5.3B Q3 | COVID emergency renewed amid mixed signals | CMS to release MA audits after lawsuit | Valley Health sues Anthem Va. over provider rates | Bright Health's insurance exit effects Colo. reforms | CMS extends bundled payment pilot

October 14, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth Group's $5.3B third quarter Full story 2. HHS renews COVID-19 PHE for 11th time — here's why Full story 3. CMS to release Medicare Advantage audits in response to media lawsuit Full…

CommonSpirit confirms ransomware hit | Bright Health's troubled 2022 | How big payers fared in CMS' MA star ratings | BCBS boosting federal employee benefits | Va. building its own insurance exchange | Meet the BCBS CEO in every state | 11 Aetna headlines

October 13, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CommonSpirit Health confirms ransomware attack Full story 2. Exits, layoffs and losses: Bright Health Group's troubled 2022 Full story 3. Meet the CEO of the BCBS affiliate in every state Full story…

ACA family glitch fix finalized | How payers have exploited MA | Home Depot appeals $2.7B BCBS settlement | BCBS Miss., UMMC end talks | CommonSpirit's big IT problems | Why MA star ratings went down | Morgan Health seeks commercial insurance researcher

October 12, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. How payers have exploited Medicare Advantage Full story 2. Biden's 'family glitch' fix kicks in soon  Full story 3. Home Depot among objectors of $2.67B BCBS antitrust settlement Full story 4. Get…

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Bright Health ends individual, group business | Blue Shield Calif. sues state over Medi-Cal contracts | CMS' 5-star MA plans | CVS in exclusive talks to buy Cano | TPG Capital buys ClaimsXten for $2.2B | Priority Health, Kroger launch Medicare plan

October 11, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Bright Health to end individual and group insurance business Full story 2. Blue Shield of California files lawsuit seeking public records in Medi-Cal dispute  Full story 3. CMS' 5-star Medicare…

Avg. MA star rating falls | Payers send members to Mark Cuban's pharmacy | Optum's ownership of Kelsey-Seybold: 5 notes | Elevance facing MA fraud suit from DOJ | OIG: BCBS Tenn., Inter Valley owe millions in overpayments | Meet the BCBS CEOs in the West

October 7, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Payers are steering their members to Mark Cuban's pharmacy Full story 2. CMS: Average 2023 Medicare Advantage star rating decreasing Full story 3. 5 things to know about UnitedHealth Group's ownership…

Kaiser's chief digital officer heads to Target | COVID testing lawsuit against Aetna dismissed | J.D. Power ranks payers' telehealth services | Aetna, Emcara partner on Fla. Medicaid | 7 recent M&A deals | 7 payers earn NCQA health equity accreditation

October 6, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Kaiser Permanente's chief digital officer leaves for role at Target Full story 2. Aetna defeats lab's COVID-19 testing lawsuit Full story 3. Payers with the best telehealth services in 2022, per…

CMS: MA premiums to decrease | Judge revives antitrust lawsuit against BCBS Mich. | CVS to sell Bswift platform | HCSC names Medicaid president | 3 payer CEOs among most powerful women, per Forbes | Where 3 payers are expanding behavioral networks

October 5, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS: Medicare Advantage premiums to decrease Full story 2. 25 best-rated Medicare plans in 2022 Full story 3. 3 payer CEOs among Fortune's '50 Most Powerful Women' Full story 4. For many health…

Optum, Change finalize $7.8B merger | BCBS Texas, Southwestern Health ink contract | 8 MA expansions in 2023 | 7 payers join hurricane relief efforts | Q&A: Clover's Health's new CEO | BCBS Mich. selling Advantasure | 13 best Medicaid plans

October 4, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Optum, Change Healthcare complete $7.8B merger Full story 2. Where 8 payers are expanding Medicare Advantage in 2023 Full story 3. 7 payers join Hurricane Ian relief efforts Full story 4. Healthcare fraud…

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