CMS is raising MA pay by $13 billion and insurers say they’ve cut down on prior auth
April 7, 2026

1. CMS hikes Medicare Advantage rate 2.48% for 2027: 6 notes Full story

2. Insurers have cut prior auth requirements by 11%: AHIP-BCBS Full story

3. Payers are looking to improve performance across Commercial, Medicare Advantage, and Medicaid. Disconnected analytics limit MLR gains. Discover a unified approach here.

4. States ranked by average monthly premium for ACA subsidy recipients in 2026 Full story

5. Repricing antitrust lawsuit against 5 insurers, Zelis moves forward Full story

 

6. Health plans are streamlining claim triage and investigation with AI. See how here.

7. Florida Blue's new specialty drug bidding program generates $5M in monthly savings Full story

8. 7 payer M&A updates Full story

9. Iowa AG files lawsuit against Change Healthcare over 2024 data breach Full story

10. Medicare Advantage growth tied to $111B in program-wide savings: Elevance Full story

11. Basic health program eligibility errors could cost Oregon at least $8M Full story

 

12. Members don't trust your portal as much as you think. Get the insights: here.

Becker's Learning Opportunities

13. Up to 43% of AI medical answers may be unsafe. What safe, physician-supervised AI looks like here.

14. 52% of cancer ED visits are avoidable. See how better care coordination reduces spend here.

15. Boards want ROI, not pilots. How to accelerate digital results: 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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