FLATLINING from Fulcrum Strategies
Ep. 16 - BCBS Mississippi Sues for Defamation (and other payor headlines)
Ep. 16 - BCBS Mississippi Sues for Defamation (and other payor headlines)
brown wooden dock on body of water during daytime
An image of the Mississippi River. Photo by Justin Wilkens on Unsplash

This week on the FLATLINING Podcast, Matthew and Ron discuss recent payor headlines. First, we all know the insurance companies make a lot of money and now that their 2022 Quarter 2 earnings reports are out, we take a look at how it affects providers and patients and what is says about the economy. In this episode we discuss Elevance (formerly Anthem) (ELV 0.00%↑), UnitedHealthcare (UNH 0.00%↑), Cigna (CI 0.00%↑), Centene (CNC 0.00%↑), and Kaiser Permenante. We excluded Aetna because it is difficult to extrapolate their earnings because it falls under the retail giant CVS Health (CVS 0.00%↑).

Then, Matthew and Ron briefly discuss why MaineHealth would drop BlueCross BlueShield of Maine in favor of Aetna for their hospital employees.

Finally, BlueCross BlueShield of Mississippi (BCBS MS) has filed a defamation suit against several hospital executives of the University of Mississippi Medical Center (UMMC). UMMC recently terminated its contract with BCBS MS after they couldn’t reach an agreement for a new contract. Following that termination, UMMC began an advertising and social media campaign against BCBS MS. BCBS MS, in turn, is saying it is false and defamatory. We take a look at how this changes the negotiation game for providers and payors and whether or not BCBS MS can win its lawsuit.

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Articles mentioned in this week’s program:

Big payers ranked by Q2 revenue - Becker’s Payer Issues

Cigna’s $1.6B net income in Q2: 6 notes - Becker’s Payer Issues

Kaiser posts $1.3B loss in Q2 - Becker’s Hospital Review

Kaiser Foundation Health Plan and Hospitals Q2 2022 financials - Kaiser Permanente

MaineHealth swaps Anthem for Aetna to administer employee health plan - Becker’s Payer Issues

Why BCBS Mississippi is suing 3 hospital execs for defamation - Becker’s Payer Issues

‘Demonstrably false’ | Insurance provider files defamation suit against UMMC - WLBT News

BCBSMS Complaint

FLATLINING from Fulcrum Strategies


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