Two states are enacting early Medicaid work rules and Virginia has passed prior auth reform
April 10, 2026

1. 7 Blue Cross Blue Shield updates Full story

2. Independence Blue Cross parent reports $423M loss in 2025 Full story

3. Medicaid's new era: Humana, AmeriHealth Caritas + others on member retention and sustainability here.

4. Virginia enacts prior authorization reforms Full story

5. 9 recent payer fines from states Full story

 

6. Alignment is easy. Execution is hard. See how payer-provider leaders are closing the gap here.

7. Priority Health received estimated $4.4M+ in MA overpayments: Audit Full story

8. Nebraska to kickstart Medicaid work requirements in May Full story

9. Arkansas to soft launch Medicaid work requirements in July Full story

10. CMS rolls out 1st tools for nationwide digital health ecosystem Full story

11. Genes may predict GLP-1 weight loss: Study Full story

 

12. Risk adjustment is under pressure. Why clinical-first strategies are replacing retrospective workflows here.

Becker's Learning Opportunities

13. Data gaps, distance, delays: Payer leaders unpack rural access challenges here.

14. 52% of cancer ED visits are avoidable. See how better care coordination reduces spend here.

15. Legacy payment systems are costing payers more than expected. Learn why 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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