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Payer Issues

Oscar Health reports data breach: 5 details | 20 hospitals tied to most 'unnecessary' care | Bon Secours Mercy Health settles false claims case | 7 payer legal disputes, settlements | UnitedHealth's Dr. Berke: 3 needed steps of a COVID mitigation strategy

January 18, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Oscar Health notifies members of data breach: 5 things to know Full story 2. What we know about omicron symptoms, recovery: A clinical timeline Full story 3. 20…

Payers: Expect messy rollout of at-home COVID test rule | Physicians charged in $100M fraud scheme | Aetna, Trinity hospital ink contract | Cigna: 20 things to know | Fla. won't enforce CMS vaccine rule | ICU bed capacity, by state

January 14, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Aetna, Trinity Health hospital reach agreement after negotiation extension Full story 2. Payers: At-home COVID-19 test coverage will drag reimbursement into 'the olden days' upon rollout Full…

Texas hospital loses Medicare contract | Kaiser, Morgan Health partner | Excellus BCBS names 1st female CIO | 8 hospital layoffs | 5 payers among best companies for remote work | Calif. sues cost-sharing ministry over unauthorized health plan sales

January 13, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Texas hospital loses Medicare contract after regulators report 'substandard' care Full story 2. 10 hospitals seeking payer contracting talent Full story 3. Morgan Health partners with Kaiser: 5…

CMS plans to limit Aduhelm coverage | Healthcare's best places to work | UnitedHealthcare settles underpayment suit for $10M | Centene adds 5th board member | Anthem moves to halt order extending Ga. hospital's contract

January 12, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. CMS unveils preliminary Aduhelm coverage decision Full story 2. UnitedHealthcare settles class-action underpayment suit for $10M Full story 3. Omicron's spread, severity: 2 new findings Full story 4. Demand…

Insurers must cover at-home COVID tests + payers react | 29 best healthcare jobs | HHS to CMS: Reassess Part B premium | 26 medical orgs fight surprise-billing process | 8 exec resignations | UnitedHealth subsidiary ordered to pay $20M in legal fees

January 11, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Payers must cover at-home COVID-19 tests starting Jan. 15 Full story 2. Payer advocates react to Biden at-home COVID-19 test coverage rule Full story 3. HHS calls for…

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Single-payer healthcare on the table in Calif. | 5 payer exec moves | WHO not concerned about variant in France | OIG flags coding errors at Healthfirst | Anthem sued over overtime pay | CMS floats Medicare Advantage, Part D rule

January 7, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. California Democrats pitch plan for taxpayer-funded universal healthcare: 7 things to know Full story 2. WHO not concerned about new variant in France Full story 3. 5 recent…

Centene names transformation chief | Physician faces charges over $46M in Medicare billings | 11 short-staffed hospitals halt services | Humana delays office return, mandates boosters | 13 states set COVID hospitalization records

January 6, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Centene names Magellan exec as chief transformation officer Full story 2. 13 states set COVID-19 hospitalization records this week Full story 3. 7 medical claims expected to increase in…

Medicare funding at Ill., Texas hospitals at risk | UnitedHealthcare: No changes to ER coverage policy | UPMC hit with $250K claims notification penalty | Aetna: 20 things to know | 4 US health plans among world's largest insurers

January 5, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealthcare assures no changes to ER coverage policy in 2022 Full story 2. UPMC hit with $250K claims notification penalty Full story 3. Hospitals in Texas, Illinois face…

Centene buys Magellan for $2.2B | Ex-Aetna CEO to co-lead hedge fund | Court orders Anthem to keep 400,000 hospital patients in-network until Feb. 1 | HHS floats rule for ACA plans | New variant found in France | No Surprises Act is in effect: 9 details

January 4, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. HHS proposal prioritizes ACA plan comparison, health equity: 5 things to know Full story 2. Former Aetna exec named co-CEO of world's largest hedge fund Full story 3.…

10 states COVID may hit hardest by NYE | 20 things to know about UnitedHealth | Lawmakers want Summa Health deemed 'distressed' | Anthem to acquire Medicaid contract | Nonprofit hospitals in these 10 states report lowest expenses | Tenet closes $1.1B deal

December 23, 2021 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. 20 things to know about UnitedHealth Group  Full story 2. Record-setting 13.6 million people will be covered by ACA plans  Full story 3. 10 states COVID-19 could hit hardest by NYE:…

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