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1. 7 recent Medicare Advantage contract suspensions, terminations Full story
2. The health plan trends that will define the next few years Full story
3. ACA at a crossroads, Medicaid’s new era, and strategic growth in Medicare Advantage – the payer conversations defining 2027 are happening Nov 2-3 in Chicago. Apply to attend Becker’s Fall Payer Issues Roundtable as a reviewer here.
4. Lifepoint among latest to file underpayment complaint against MultiPlan, insurers Full story
5. Massachusetts prior auth regulations take effect: 6 things to know Full story
6. Members don’t trust your portal as much as you think. Get the insights: here.
7. Payers begin pitching 2027 ACA rates: 5 updates Full story
8. CMS has closed nearly 15K No Surprises complaints since 2022 Full story
9. GLP-1s and cancer: 6 things to know Full story
10. Insurer-owned CAQH rebrands to DataSpring Full story
11. TrumpRx to expand coverage to more than 800 drugs Full story
12. Cancer care gaps start before diagnosis. The 3 gaps health plans must address now here.
Becker’s Learning Opportunities
13. $80B spent on avoidable ED visits. How payers reduce downstream costs with medical AI here.
14. Mental illness drives $282B in annual costs. How payers are responding here.
15. Payers: Payment delivery is now a strategic lever. Explore why in this report 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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