August 12, 2025

1. Nearly 6,500 providers opt out of $2.8B BCBS settlement Full story

2. Florida payer replaces president with COO Full story

3. Prepayment review takes a proactive approach, helping payers spot and resolve issues before claims are processed—unlike traditional post-payment methods. Discover the benefits in this podcast episode.

4. Lawmakers question adding prior authorization for traditional Medicare services Full story

5. Prior auth plot twist: Highmark Health, AHN and Abridge go real-time Full story

 

6. $450K saved: Learn how one hospital cut pressure injuries and added savings here.

7. New Hampshire enacts law ending surprise ambulance billing Full story

8. UnitedHealth Group in the headlines: 12 updates Full story

9. CMS lifts enrollment freeze on Florida PACE organization Full story

10. Houston physician pays $2M to settle fraudulent billing allegations Full story

11. 9,200 healthcare organizations join interoperability network: 4 notes Full story

 

12. Cut friction across member touchpoints — a proven personalization roadmap here.

Becker's Learning Opportunities

13. How Aetna Medicare is rethinking oncology strategy here.

14. Pressure to eliminate ghost networks is rising. See how payers are responding: here.

15. The payer-provider collaboration blueprint — Lessons from OhioHealth and Medical Mutual here.

16. Interested in more? See Becker's full lineup of webinars and whitepapers.

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