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1. 11 payers cutting jobs Full story
2. Highmark-BCBS Kansas City affiliation green-lit by Missouri regulators Full story
3. AI is redefining payment integrity. SVP of IT & Dev
explores how
AI and machine learning power smarter prepayment strategies, balancing automation with accuracy, fairness, and trust across the full claims lifecycle.
4. Anthem Indiana's new leader: Designated orthopedic network 'just the first lever we'll be pulling' Full story
5. Payer, hospital groups decry possible QHP certification of non-network plans Full story

6. Still managing risk, quality + VBC initiatives in spreadsheets? BCBS Kansas City took another path here.
7. North Carolina system to start going out of network with UnitedHealthcare in April Full story
8. 6 Medicaid expansion updates Full story
9. 3 updates on potential GLP-1 uses, risks Full story
10. BCBS Rhode Island reports $10M operating loss in 2025 Full story
11. Continuous glucose monitor use rising among Medicare Advantage members with Type 2 diabetes: Humana Full story

12. AI is moving beyond documentation into the clinical conversation. What leaders should know — here.
Becker's Learning Opportunities
13. Which patient clusters drive readmissions, mortality and infection rates? Find out here.
14. Finance teams can't plan in silos anymore. See how healthcare leaders modernize forecasting here.
15. Scaling rural access as strain grows — HonorHealth, Bon Secours Mercy + others share here.
16. Interested in more? See Becker’s full lineup of
webinars
and
whitepapers.
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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