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1. 18 payers exiting Medicare Advantage in 2027 Full story
2. Centene to leave Hawaii Medicaid program Full story
3. Risk adjustment without the annual scramble: See why perspectives from informatics and actuarial teams help — in this webinar.
4. UnitedHealthcare names chief marketing officer Full story
5. CMS lifts enrollment freeze on Massachusetts Medicare Advantage insurer Full story
6. Learn how BCBS South Carolina built a business case that turns social risk into measurable savings during this webinar. Register with one click.
7. 12% of calls to mental health clinicians in BCBS directories led to appointments: Study Full story
8. CMS urges marketplace insurers to have brokers record consumer calls Full story
9. Medicare broker eHealth could be delisted from Nasdaq Full story
10. Healthcare billing fraud: 10 recent cases Full story
11. GLP-1s may benefit patients after surgery: 6 study notes Full story
12. Many member experience problems start with identity. See how health plans fix it during this webinar. Register with one click.
Becker’s Learning Opportunities
13. Faster reviews, same defensibility? How payers are testing AI in utilization management here.
14. Providers are wary of prior auth tools that create parallel workflows. See what they want instead here.
15. Health plans can’t afford another rip-and-replace project. Choose the right repository with this checklist here.
16. Becker’s upcoming webinars: predicting drug shortages, AI in patient translation and capital planning. See the sessions here.
Apply to attend complimentary as a guest reviewer here! Opportunity exclusive to those directly employed by a payer, payvider, accountable care organization, or clinically integrated network.
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