6 updates on payer-provider relationships

Six recent articles posted by Becker's Hospital Review that concern payer-provider relationships:

1. Optum is taking a "city by city" approach when rolling out its healthcare initiatives, according to new UnitedHealth Group president Sir Andrew Witty.

2. A small hospital in Tennessee submitted "suspicious" claims to BlueCross BlueShield of Tennessee to collect improper payments, the health insurer alleged.

3. Under a multiyear agreement, UnitedHealthcare will open 14 Medicare service centers in Walgreens stores across the U.S.

4. ProMedica froze enrollment in its managed Medicaid program as the Toledo, Ohio-based health system faces more than $100 million in losses due to the plan.

5. While a law addressing balance billing has helped California patients avoid surprise out-of-network bills, physicians argue the regulation has put them at an unfair disadvantage in insurance negotiations.

6. Murray (Ky.)-Calloway County Hospital terminated its contract with Anthem and is attempting to negotiate a new one with the health insurer before a February deadline.

More articles on payers:
Centene to sell Illinois health plan to CVS
Highmark CEO to chair BCBSA board
Passport, a 20-year managed Medicaid veteran in Kentucky, loses out on $8B contract

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