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Payer Issues

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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UnitedHealth's $80B Q1 | 40% of top execs left NY health plan | Tech burned by nurse sues Hackensack | Anthem ordered to keep Northside contract intact | Payers' fitness tech discounts | ACA repeal off the table for Grassley

April 14, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth sees 14% revenue growth in Q1: 14 things to know Full story 2. Tech attacked, burned by travel nurse sues Hackensack Full story 3. At least 40%…

6 payers adding new C-suite roles | Public health emergency renewed | Scrutiny builds over MA plans | Delta ends insurance surcharge for unvaccinated staff | Providence to pay $22.7M to settle unnecessary care suit | States ranked by suicide rate

April 13, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Why 6 payers recently added nontraditional roles to their C-suites Full story 2. COVID-19 public health emergency renewed Full story 3. Delta Air Lines drops health insurance surcharge…

Hospitals with most Medicare, Medicaid patients | Best payers to work for: Fortune | CEO added to $120M Medicare fraud case | UnitedHealth subsidiary ordered to pay $200M over coverage denials | Colo. fines Bright Health $1M

April 12, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. US hospitals with the highest share of patients on Medicare Full story 2. US hospitals with the highest share of patients on Medicaid Full story 3. Renewal…

8 health insurance execs on the move | Longtime Centene CEO dies | UnitedHealthcare launches virtual PT | 9 hospitals cutting services | Mich. reforms prior auth rules | 5 best healthcare cos. for career growth

April 8, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 8 recent payer executive moves  Full story 2. Longtime Centene CEO Michael Neidorff dies  Full story 3. 9 hospitals scaling back services  Full story 4. Leading health systems have proactive workforce strategies. Here's…

Why insurers, health systems are breaking up | Fla. system strikes $20M false claims deal | Calif. investigating Centene | Atlanta hospital to end inpatient care | 5 payer-provider contract terminations | Kan. hospital CEO resigns

April 7, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Why insurers, health systems are breaking up  Full story 2. Florida health system will pay $20M to resolve false claims case  Full story 3. 5 recent payer-provider contract terminations  Full story 4.…

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