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Payer Issues

No Surprises Act may surge ER visits | Oregon weighs single-payer | Optum's Minn. campus up for grabs | Where Medicare acceptance is greatest | HCSC expands virtual care to Ill., Texas | People in cities use telehealth most, OIG finds

September 14, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Oregon legislature to decide on single-payer system Full story  2. Study: No Surprises Act could result in millions more emergency department visits Full story 3. Cities with the highest Medicare acceptance…

UnitedHealthcare, Envision feud over payments in court | CarePoint accuses competitors of trying to 'destroy' hospitals | Noncitizens can use Medicaid, CHIP: DHS | AMA joins class action against Cigna | BCBS Tenn. goes permanently remote

September 13, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'Cold, callous and inhumane': UnitedHealthcare, Envision battle in federal court Full story 2. CarePoint accuses RWJBarnabas Health, Horizon BCBS of aiming to 'destroy' 3 hospitals in lawsuit Full story 3. DHS:…

Amazon wants payer talent | Judge questions DOJ in UnitedHealth, Change challenge | What Aetna gains from Signify | CareFirst, Johns Hopkins near breakup | Highmark's VBC programs are saving billions | 4 terminated payer contracts

September 9, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Judge casts doubt over Justice Department's challenge of UnitedHealth's Change acquisition Full story 2. CareFirst BCBS, Johns Hopkins terminate contract Full story 3. What $8B buys Aetna with Signify Full story…

Judge gives partial win to ACA opponents | Long COVID is a major employer healthcare cost | Health systems' digital investment picks | Payers are ditching offices nationwide | Aetna expands ACA plans in 10 states | 13 payers entering, exiting markets

September 8, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Federal judge awards partial victory to ACA opponents, rules against HIV drug coverage Full story 2. Where health systems are investing digital health dollars Full story 3. Long COVID outpacing diabetes…

Payers ranked by CEO-to-worker pay ratio | UnitedHealth, Walmart partner on MA | Where every insurance premium dollar goes | Mark Cuban's Cost Plus nears 1M customers | UnitedHealthcare launches ACA plans in 4 states | WellCare Ky. names 2 execs

September 7, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth, Walmart partner on value-based senior care, will launch co-branded health plan Full story 2. Mark Cuban's pharmacy nears 1M customers Full story 3. Where every insurance premium dollar goes Full story…

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CVS' $8B Signify buy: 6 notes | Payers' prices have emerged. How useful is that? | FTC probes Amazon-One Medical deal | Centene names chief ethics exec | CMS tightens rules on celebrity MA ads | 10 newly inked payer contracts | MetroPlus opens NYC HQ

September 6, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CVS Health to buy Signify for $8B: 6 details Full story 2. Payers' prices for services are emerging. How useful is that data? Full story 3. FTC probes Amazon's deal for…

Aetna, Covenant cut ties | Humana completes CenterWell rebrand | Trinity, CommonSpirit finish deal | Free COVID shots will run out in Jan. | Blue Shield Calif. names COO, CFO | 6 payers fined by states | Iowa awards Medicaid contracts

September 2, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Humana completes CenterWell Home Health rebranding Full story 2. Trinity acquires CommonSpirit's share of MercyOne Full story 3. Aetna, Covenant Health terminate contract Full story 4. Burdensome payer policy can directly hinder revenue…

CMS looks to streamline Medicaid, CHIP enrollment | Health systems shrink exec teams | 41 exec moves in August | MA enrollment is lowest in these states, but that's changing | Providence HP names CIO | La. picks Magellan for Medicaid PBM

September 1, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Biden administration proposes rule to overhaul Medicaid, CHIP enrollment process Full story 2. 41 payer exec moves in August Full story 3. Medicare Advantage enrollment is the lowest in these states,…

'Vomit at your insurance companies, folks': Anthem denial video goes viral | Highmark's $174M losses in 2022 | Oscar, Health First cancel deal | Cigna's first chief health exec | BCBS Mass. names CEO | 7 payer workforce moves | 6 UnitedHealth stories

August 31, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 'Vomit at your insurance companies, folks': Comedian's video goes viral after Anthem denies stomach treatment Full story 2. Oscar, Health First Health Plans terminate $60M partnership Full story 3. Highmark Health…

Centene, Tenet hit contract impasse | Bright Health on brink of insolvency | 3 payers tapped for Medi-Cal contracts | Former NBA player pleads guilty to $5M fraud scheme | Cigna enters ACA market in 3 states | 6 payers selling assets

August 30, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene threatens to terminate contract with Tenet, potentially impacting 3 million patients Full story 2. Bright Health is on the brink of insolvency Full story 3. Molina, Anthem, Centene tapped for Medi-Cal…

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