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1. Centene’s chief strategy officer departs Full story
2. AI, ICHRA gain steam as employers face exploding benefits spending Full story
3. Highmark’s CFO shares how to reduce avoidable utilization & improve member experience: here.
4. Justice Department charges 15 for $90M+ in alleged healthcare fraud, expands strike force Full story
5. Aetna rolls out next iteration of AI-powered claims processing agent Full story
6. Stop reacting to denials. Build the workflow that prevents them here.
7. CVS sues Tennessee over PBM law Full story
8. BCBS Illinois shifts more employees to fully remote work amid report of 3rd office closure Full story
9. UnitedHealth’s PBM names CFO Full story
10. CareSource pauses behavioral health Medicaid clawbacks Full story
11. 10 systems naming payer relations leaders Full story
12. Payment integrity is moving upstream. See how plans balance margin and provider trust here.
Becker’s Learning Opportunities
13. Where does cancer support break down for your members? Find the gaps — and fixes — here.
14. Star Ratings still drive revenue lift. How top plans operationalize quality before the visit here.
15. 55% fewer ED visits — what’s driving results in substance use disorder care here.
16. Becker’s resources don’t stop here — explore more webinars and whitepapers.
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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