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Payer Issues

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…

12 states with highest uninsured rates | AMA eyes suit targeting prior auth 'abuses' | Is single-payer feasible in the US? 1 CMO answers | Anthem may dodge suit over $415K bill | Where are Americans quitting most?

March 18, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. AMA considering lawsuit to target prior authorization 'abuses' Full story 2. Where are Americans quitting jobs the most?Full story 3. These 12 states had uninsured rates higher…

UnitedHealth blasts DOJ challenge to Change deal | BCBS sues Walgreens | Anthem Blue Cross ends payment of consultations | 10 most segregated hospital markets | Humana workers go back to office after 2-year hiatus

March 17, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. UnitedHealth blasts Justice Department challenge to Change deal Full story 2. States ranked by omicron subvariant prevalence Full story 3. Walgreens sued by BCBS payers, health systems for…

MA plans got $12B in excess pay: Watchdog | $36K hospital bill goes viral | Molina called out over reimbursement | Results from Banner-Aetna partnership | Humana, La. hospital hit contract snag | COVID cases rise in UK, as do questions

March 16, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Medicare Advantage collected $12B in 'excess payments', watchdog report says Full story 2. 'How do regular people with low income pay for that?': $36K hospital bill goes…

Payers slam Mass. system's $2.3B expansion | 6 'most ethical' payers | Calif. targets payer costs | Biden wants stricter payer mental health parity enforcement | 6 payer-provider contract disputes, resolutions

March 15, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Payers speak out on proposed Mass General Brigham expansion Full story 2. 6 healthcare payers among 'World's Most Ethical Companies' for 2022 Full story 3. Novant Health…

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Deltacron: What we know | Oscar, Bright Health, Clover post losses of $500M+ | BCBS, Memorial Hermann reach deal | Marketplace plan enrollment, by state | Calif. physician charged in $36M Medicare fraud scheme

March 11, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Oscar Health, Bright Health, Clover Health post losses exceeding half a billion dollars in 2021 Full story 2. BCBS, Memorial Hermann reach deal to keep 100,000 members in-network…

Anthem to change name | 12 physicians sentenced for $250M billing fraud | 10 drugs that cost Medicare the most | CareFirst names diversity director + 7 other payer exec moves | Anthem sues ex-president, alleges trade secret theft

March 10, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Anthem plans to change name, rebrand Full story 2. MyMichigan Health CEO Dr. Diane Postler-Slattery, husband die in plane crash Full story 3. 12 physicians sentenced in $250M…

Oscar COO to resign | Aetna, Optum must face 'dummy code' suit | A look at AMA's single-payer fight | 151-day telehealth expansion on the table | Vt. system urged to resolve spat with UnitedHealthcare | 5 payers flagged for coding, reimbursement errors

March 9, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Oscar Health's COO to resign Full story 2. Congress set to add 151 days of telehealth coverage Full story 3. 5 payers flagged for coding, reimbursement errors Full story…

Broward, UnitedHealthcare hit contract impasse | 9 top Medicare, Medicaid plans | Calif. payer fined $55M for care authorization delays | HHS: COVID funding is used up | 250+ orgs reject CMS' direct contracting model rebrand

March 8, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Broward Health, UnitedHealthcare hit contract impasse Full story 2. California health plan fined $55M for care authorization delays Full story 3. Mallinckrodt to settle drug rebate, kickback suits…

Optum's provider + growth strategy | Bright Health lays off 150 | Vt. system wants out of UnitedHealthcare contract | Centene withheld overtime pay, suit claims | Senate votes to end COVID emergency as Biden seeks more aid

March 4, 2022 BHR Newsletter Virtual Events  •  Webinars   •   Whitepapers   •   OnDemand Learning  •   Podcasts 1. Bright Health lays off 150 workers, 5% of workforce Full story 2. Optum's strategy for 2022 growth Full story 3. Employee sues Centene claiming overtime pay was withheld…

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