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1. Fairview sues UnitedHealthcare over alleged Medicare Advantage false advertising Full story
2. Judge rejects Alignment’s bid to toss former exec’s whistleblower lawsuit Full story
3. Shared risk isn’t the same as shared responsibility—see the difference. Learn more
4. Highmark names new CEO Full story
5. GLP-1 spending rose 84% in 1 year at BCBS Massachusetts: Study Full story
6. Cardiorenal patients cost up to 269% more per member per month. See what earlier intervention changes here.
7. Sentara wraps Anthem negotiations for MA, Medicaid, ACA plans without deal Full story
8. 12 insurers exiting ACA markets Full story
9. 6 insurers entering ACA markets Full story
10. Molina assumes $6B Florida Medicaid special contract Full story
11. ‘Unconstitutional gambit’: California providers, health plans challenge restructured managed care tax Full story
12. CareSource Indiana cut readmissions among navigated behavioral health members. See the model behind it in this webinar. Register with one click.
Becker’s Learning Opportunities
13. CMS now audits every eligible MA contract. In this webinar, see how a more connected operation catches what risk adjustment teams miss. Register with one click.
14. Dispute volume, court rulings and a pending Final Rule are reshaping the No Surprises Act. See what’s next in this webinar. Register with one click.
15. Members screen positive for colorectal cancer and never get the colonoscopy. In 2027, that becomes a plan score. Details in this webinar. Register with one click.
16. Becker’s upcoming webinars: prostate cancer imaging, procurement in an AI era and hospital capacity. See the sessions here.
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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