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1. 25 states sue Trump admin over Medicaid work requirements — 8 things to know Full story
2. Kansas sues Aetna over alleged diversion of state employee health plan funds Full story
3. Legacy payment systems are costing payers more than expected. Learn why here.
4. BCBS Massachusetts to drop small group, individual PPO plans Full story
5. Centene to depart New Hampshire ACA market Full story
6. 55% fewer ED visits — what’s driving results in substance use disorder care here.
7. UnitedHealthcare, CareFirst see midyear small group rate increases in Maryland Full story
8. Alabama hospital delays closure amid BCBS Alabama discussions Full story
9. DOJ sues medical device maker alleging Medicare billing scheme Full story
10. GLP-1s linked to slower biological aging: 4 study notes Full story
11. Cigna, MUSC Health extend contract through August Full story
12. Where does cancer support break down for your members? Find the gaps — and fixes — here.
Becker’s Learning Opportunities
13. GLP-1s are reshaping pharmacy economics for every health plan, ICHRA is changing the employer-sponsored market, and direct contracting is shifting the network model. All three are on the agenda Nov. 2-3 in Chicago. Apply to attend Becker’s Fall Payer Issues Roundtable as a reviewer here.
14. Independence Blue Cross, SCAN, SelectHealth + others on what’s really driving member behavior, here.
15. EMR data overload slows utilization review. More efficiency in highlighting what matters here.
16. Becker’s resources don’t stop here — explore more
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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