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1. Arkansas BCBS, Cambia receive green light for affiliation Full story
2. A tale of 2 retailers: What drives success for co-branded Medicare Advantage plans Full story
3. Your chart reviews are leaving HCCs on the table. One MA plan recovered 97% more. See what changed.
4. Humana sues Bayer, alleging $7.3B weedkiller settlement fails to reimburse insurers Full story
5. Lawmaker probes No Surprises IDR arbiters Full story
6. ‘Different opinions and perspectives from leaders in this space.’ – Allison Soto, Senior Manager, Aetna. 500+ payer executives are gathering Nov. 2-3 in Chicago at Becker’s Fall Payer Issues Roundtable. Apply to attend as a reviewer here.
7. How 10 payer executives drive innovation in healthcare Full story
8. 8 recent Medicare Advantage contract suspensions, terminations Full story
9. Democrats in talks about expanding Medicare, breaking up large insurers: Report Full story
10. Watchdog finds 4th state failed to ensure Medicaid insurers followed mental health parity rules Full story
11. CMS rebrands ICHRA Full story
12. Highmark’s sales enablement VP on turning employer data into stronger renewals here.
Becker’s Learning Opportunities
13. Coordination alone won’t fix cancer costs. Evry Health’s CMO on what will here.
14. When the NEMT audit arrives, your health plan is the responsible party. Prepare here.
15. Deploying AI in utilization management? Get the governance and oversight playbook here.
16. Becker’s September webinar lineup: hospital AI, nonopioid pain care and analytics governance. 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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