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1. ACA sees 3 million enrollee drop: 5 notes Full story
2. Montana, Arkansas to kick off Medicaid work requirements July 1 Full story
3. Becker’s Fall Payer Issues Roundtable convenes 500+ payer executives, 85+ speakers, and a keynote from Emmitt Smith. Two days in Chicago, Nov. 2-3, that close out the year for payer strategy. Apply to attend as a reviewer here.
4. CMS rewrites MA star ratings calculations mid-game: Where health plans stand Full story
5. Elevance pays CMS $342M amid Medicare Advantage sanctions threat Full story
6. Why prior authorization breaks down — and what real-time AI is doing about it here.
7. UnitedHealth’s Optum Insight provider business taps CIO Full story
8. 10 most, least educated cities Full story
9. 7 Medicaid behavioral health fraud cases, audit findings to know Full story
10. Physicians vs. prior authorization: 10 updates Full story
11. 3 candidates vying to lead FDA: What to know Full story
12. Up to 25% higher engagement in behavioral health treatment. See how here.
Becker’s Learning Opportunities
13. 92% of insurers have AI budgets. What’s turning spend into impact here.
14. 60 million adults are overdue for CRC screening. See how health plans close gaps here.
15. Every 4-week delay raises cancer mortality risk 6–8%. See how payers reduce delays 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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