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Payer Issues

20 top hospitals' payer mix | Maine hospital to drop Anthem over $70M in unpaid claims | 33 billionaires in healthcare | Payers cut brokers' commissions | MBAs in management linked to lower employee pay | Tivity Health strikes $2B deal

April 6, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. MaineHealth says $70M in unpaid claims reason to drop Anthem  Full story 2. 33 billionaires in US healthcare  Full story 3. Payer mix in the nation's top 20 hospitals  Full story 4.…

Biden wants to update ACA | Former Humana exec lands CEO role | Optum, Change set $650M breakup fee | 7 hospitals laying off workers | 10 least healthy US cities | How should telehealth be reimbursed?

April 5, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden proposes ACA coverage expansion to include more families  Full story 2. 7 hospitals laying off workers  Full story 3. Former Humana executive lands CEO role at Acadia  Full story…

BCBS Ill. president abruptly exits | UnitedHealthcare, Broward sever contract | Health Care Service Corp. shakes up C-suite | 9 payers fined by states | Why physicians resist telehealth | Time for more nurse CEOs?

April 1, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Steve Hamman out as president of BCBS Illinois; replacement named Full story 2. COVID-19 cases up in 17 states Full story 3. UnitedHealthcare, Broward Health terminate contract, affecting…

Ransomware group claims to steal 850K records from health plan | RI fines UnitedHealthcare over denials | CMS floats hospice pay rule | States ranked by hospital admission rates | 4 payer execs named to list of 75 Black healthcare leaders to know

March 31, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Ransomware group claims to have stolen 850,000 patient records from California insurer Full story 2. Aetna sued over 'unreasonably low' reimbursement to Florida plastic surgery provider Full story…

Anthem exec joins virtual care co. | Mark Cuban's pharmacy adds 50+ drugs | A look at UnitedHealth's M&A deals | 5 payer exec resignations, retirements | UnitedHealthcare, Vt. system strike new contract | Why rudeness is on the rise

March 30, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Former Anthem exec joins virtual care company Full story 2. A look into UnitedHealth's M&A deals Full story 3. 5 payer exec resignations, retirements Full story 4. Discover…

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UnitedHealth strikes $5.4B deal | Ga. fines BCBS $5M | Feds restore halted Medicaid funding to Texas hospitals | Biden's budget: 9 healthcare notes | Ore. health plan confirms data breach affecting 10K + 5 other breaches

March 29, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. $5M fine against BCBS largest in Georgia regulator's history Full story 2. Cigna sued for alleged nonpayment of chiropractic service claims Full story 3. UnitedHealth to buy home-health…

2 min. may cost Tufts Health Plan $400M | Healthcare CEOs' big paydays | BCBS of Kan. reports data breach | Optum to expand in 37 states with acquisition: report | Mich. passes prior auth reforms | 7 payer exec moves

March 25, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 2 minutes — and traffic — may have cost Tufts Health $400M Full story 2. Optum reportedly buys Refresh Mental Health Full story 3. BCBS of Kansas notifies…

Allina Health-Aetna taps CEO | Highmark reports data breach | CommonSpirit launches outcome-based pay model | Mich. lawmaker eyes single-payer healthcare | Anthem's bid to toss $51M escrow suit denied

March 24, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Highmark Health confirms data breach affecting up to 67,000 people Full story 2. Ex-Vanderbilt nurse's trial could set dangerous precedent, ANA warns Full story 3. Allina…

Centene names CEO | Wis. bans health insurer | ProMedica's health plan to lay off 200 | TeamHealth sued over alleged upcoding | UnitedHealth's mental health claim denials were reasonable: Appeals court | Humana issues $750M debt offering

March 23, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene names new CEO Full story 2. ProMedica to lay off 200 employees after health plan loses contract Full story 3. Payer banned in Wisconsin following sale of…

Cigna exec to join Tenet | What 4 payer CEOs earned in '21 | Ill. fines BCBS over contract termination | Kaiser sued over alleged underpayments | M&A fuels Highmark's $440M profit | NY system tries to recoup $228M from insurer | 7 billing fraud cases

March 22, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Cigna exec to join Tenet as VP of investor relations Full story 2. What 4 major payer CEOs earned in 2021 Full story 3. Criminal trial begins for…

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