Anthem’s new out-of-network penalty, Optum names CFO, and CMS brings back workers
October 24, 2025

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1. Anthem may penalize hospitals 10% for using out-of-network providers Full story

2. Optum names new CFO Full story

3. Regulatory whiplash meets opportunity: CMS rules, SDoH requirements, quality incentives. Join Get access to 85+ elite health plan speakers to learn how national and regional plans are adapting at Becker's Payer Issues Roundtable. Claim your complimentary badge here.

4. 6 things to know about the Medicare prior authorization pilot program Full story

5. CMS calls back all furloughed workers Full story

 

6. Messy provider data kills AI. See the CIO strategy that can fix it here.

7. New drugs can see coverage delays of up to 1 year: Report Full story

8. Montana opens BCBS query in wake of widespread data breach Full story

9. Employers contend with GLP-1 coverage: 5 things to know Full story

10. CDPHP names new CEO Full story

11. Maternal mortality rates, by state Full story

 

12. Still using last year's data to manage employee benefits? There's a better way: start here.

Becker's Learning Opportunities

13. AI in UM + clinical workflows: What payers should demand from vendors, here.

14. Interoperability without a full IT rebuild? How this org did it — and saved millions — here.

15. UM reform pressure is rising. What the AHIP + CMS pledge means now — and next — here.

16. Becker’s resources don’t stop here — explore more webinars and whitepapers.

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