Payer Issues E-Newsletter
December 17, 2019


1. New York physician sentenced to prison for role in $30M billing scheme Full story

2. Congress unveils $1.3T spending deal: 5 healthcare takeaways Full story

3. Memorial Hermann, Cigna to end contract Full story

4. Protecting Your Investment | Tips to Improve Performance of Employed Providers. Learn How.

5. Zero out-of-network billing by 4 specialists could save $40B, study finds Full story

6. HHS appeals termination of hospital outpatient pay cut Full story

7. How to prime your hospital's operational engine for value-based success. Click here to attend the live, online discussion.

8. Centene revenues to sink $500M over delayed North Carolina Medicaid contract Full story

9. Texas hospital overbilled Medicare by $10.6M, OIG says Full story

10. What does the future of revenue cycle management look like? Hint: It's intelligent. Click here to read more.

11. OIG: Billions in estimated Medicare Advantage payments 'raise concerns' Full story

12. Ex-BCBS Association CMO to head up innovation at prior authorization company Full story

13. Humana to buy hospice pharmacy Enclara Healthcare Full story



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