11/19/2023 0 Comments Wps healthSanders reintroduces single-payer Medicare bill with record sponsors.Cigna sued following ProPublica report on unreviewed batches of denied claims.How CVS, Walgreens are the front door to Medicaid redeterminations.UnitedHealthcare hits back at Prisma Health lawsuit.Bon Secours sues Anthem BCBS for $93M, alleging unpaid claims.65% of health plans 'very concerned' about off-label use of Ozempic, other weight loss drugs.Aetna, Optum can't escape class-action status in 'dummy code' case.Why a South Dakota health system is dropping Medicare Advantage.UnitedHealth wants to make weight loss drugs cheaper.Average hospital payer mix in every state.Ascension drops weight loss drug coverage for employees.Why this UnitedHealth Group employee joined 'the Bachelorette'.Judge certifies class action in Aetna, Optum 'dummy code' lawsuit.Payers crack down on Ozempic prescriptions.Health system-payer negotiations go awry.Medicaid redeterminations are going worse than expected, experts say.The 2-midnight rule and Medicare Advantage: 6 things to know.15 top execs that have recently left Optum.Cigna to pay $172M over alleged Medicare Advantage fraud.CMS halts Medicaid redeterminations in 'half-dozen states'.Elevance Health cuts jobs as company confirms 'changes'.UnitedHealthcare's prior authorization cuts to begin Sept.UnitedHealthcare, Cigna halt policies after pushback.Former Medicare Advantage organization executive charged in multimillion dollar fraud scheme.CVS Health to lay off 521 Aetna employees.Prisma Health files for temporary restraining order against UnitedHealthcare amid contract negotiations.Cigna gets order barring ex-executive from taking CVS role. ![]() UnitedHealthcare warned of rising healthcare utilization rates.Aetna adds 5 new exchange states for 2024.Centene launches co-branded Medicare Advantage plans with Mutual of Omaha.Value-based care growth stagnant in 2022.How Aetna snagged a multibillion-dollar state contract from BCBS North Carolina.UnitedHealth closes acquisition of UK company.What's new for ACA open enrollment: 5 notes.OIG: Humana subsidiary received estimated $117M in overpayments in 2015.CMS: Insurers to lose $1.1B in risk adjustment payments from Bright Health, Friday exits.Private payer's prices highest in upper Midwest and Southeast, price transparency study finds.Dentistry - The Next Five Years Virtual Event.21st Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference.
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