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1. Cigna COO to succeed retiring predecessor as CEO Full story
2. 'We're running in when others are running out': Stability drives record growth for regional Medicare Advantage plans Full story
3. Utilization management & prior authorization are being transformed by AI & new API requirements.
Learn how.
4. Lawmakers introduce bill to reverse Medicaid cuts, expand Medicare benefits Full story
5. 100+ organizations call on CMS to revise proposed 2027 MA rates Full story
6. Primary care access gaps are widening. Why accountable AI models protect payers at scale here.
7. Massachusetts state employee health plan to drop GLP-1 coverage Full story
8. Elevance names Tennessee Medicaid president Full story
9. Sarasota Memorial disputes OIG audit alleging $12.1M in Medicare overpayments Full story
10. CalOptima investigation into imprisoned board member finds no fraud Full story
11. Medicaid disenrollment spikes at age 19: Study Full story
12. Interest is high. Utilization is uneven. New virtual care data explained here.
Becker's Learning Opportunities
13. How payers are simplifying claims and collaboration to cut friction here.
14. Medical loss ratios are pushing past 90%. AI's 3 high impact areas to reshape payment integrity here.
15. Surgery drives MSK spend. See how to drive a 61% utilization reduction here.
16. Interested in more? See Becker’s full lineup of
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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