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1. BCBS Tennessee pivots away from AI tool that monitored employee work Full story
2. Medi-Cal plans brace for ‘devastating’ asset limit crunch Full story
3. How much unsupported RAF did your vendor help you avoid?
4. Humana names chief medical officer Full story
5. The never-ending No Surprises saga Full story
6. If you work in commercial, MA or Medicaid strategy at a health plan, the peers comparing what’s working in your line of business are gathering Nov. 2-3 in Chicago. Apply to attend Becker’s Fall Payer Issues Roundtable as a reviewer here.
7. Mount Sinai quietly stops accepting some new patients with government-backed plans Full story
8. Centene’s Health Net to end assisted living transition service for Medi-Cal members Full story
9. Only 13% of Medicare beneficiaries can accurately define coverage options: Survey Full story
10. CommonSpirit’s 5 targets for judging payer prior auth reform Full story
11. CVS board member resigns, replaced by JPMorgan’s chief data officer Full story
12. A referral is not access. What getting members to real OCD care takes, here.
Becker’s Learning Opportunities
13. Margin management is moving upstream. Blue Cross and Blue Shield of Nebraska shares what it’s doing differently here.
14. Governed AI agents can raise audit hit rates at scale. Learn how here.
15. How Highmark turned employer reporting into a driver of renewals and growth here.
16. Becker’s August webinar lineup: CDI, remote monitoring, revenue cycle AI and staff safety. 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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