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1. Aetna to pay $118M to resolve Medicare Advantage upcoding allegations Full story
2. Elevance 'surprised and disappointed' by CMS Medicare Advantage sanction threat: CFO Full story
3. What CIOs should know about payer friction and interoperability gaps here.
4. Centene expects 40% ACA membership decline by end of year Full story
5. UnitedHealthcare, AARP hit with another Medigap lawsuit Full story
6. Mid-revenue cycle gaps cost hospitals millions. Learn where here.
7. Minnesota governor pitches cutting payers from state's Medicaid program Full story
8. South Carolina system to go out of network with Aetna Full story
9. Share of Medicaid beneficiaries in managed care, ranked by state Full story
10. Iowa bill would require insurers to honor out-of-network primary care referrals Full story
11. Idaho lawmakers introduce Medicaid expansion repeal bill Full story
12. Cardiac device integration gaps are costly. How a USF clinic fixed them + scaled monitoring here.
Becker's Learning Opportunities
13. Labor strategy fails without housing strategy. Why CEOs are acting now here.
14. Why adding more tech is not fixing hospital fragmentation — read the report here.
15. Over-testing strains care and costs. Mayo Clinic + UC San Diego's fix? Diagnostic stewardship — details here.
16. Interested in more? See Becker’s full lineup of
webinars
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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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