May 27, 2025

1. AHIP warns of 'unprecedented' coverage losses Full story

2. 17 payers cutting jobs | 2025 Full story

3. Reimagine payer transparency. Get insights here.

4. California payer decries 'hostile takeover' amid local Medicaid changes Full story

5. Claims denial rates up, prior auth denials down in 2024: Report Full story

 

6. CMS just changed the rules on MA risk adjustment. Stay compliant, stay paid — guide here.

7. Cleveland Clinic to require copays before nonemergency appointments Full story

8. Former CVS Health CFO named Athenahealth CFO Full story

9. Aetna delivers $20M in value-based payments: 3 notes Full story

10. BCBS Minnesota adds new substance use, eating disorder partnerships Full story

11. Medicare Advantage in the headlines: 7 recent updates Full story

 

12. GLP-1 hype is high. So is the risk. What payers need to know: here.

Becker's Learning Opportunities

13. AI is revolutionizing member engagement — discover how it works here.

14. Too many HR teams make decisions in the dark. Pinpoint the right benefits for ROI, here.

15. Most plans value personalization. Just 34% deliver it. See what's missing: here.

 

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