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1. CMS finalizes 2027 Medicare Advantage and Part D rule: 10 notes Full story
2. Public prior authorization data short on insight: KFF Full story
3. Payers rethink medical loss ratio strategy amid rising costs, MA pressure — see how here.
4. Elevance mental health 'ghost network' lawsuit to move forward, judge rules Full story
5. How 15 health plan leaders are preparing for federal and state policy shifts Full story

6. Members don't trust your portal as much as you think. Get the insights: here.
7. Aetna names Missouri, Pennsylvania Medicaid CEOs Full story
8. 19 health systems dropping Medicare Advantage plans Full story
9. Centene's Carolina Complete Health, WellCare of North Carolina merge Full story
10. Clover CFO departs Full story
11. 9 policies to help health plans mitigate chronic conditions: AHIP Full story

12. $80B spent on avoidable ED visits. How payers reduce downstream costs with medical AI here.
Becker's Learning Opportunities
13. 52% of cancer ED visits are avoidable. See how better care coordination reduces spend here.
14. 55% fewer ED visits — what's driving results in substance use disorder care here.
15. Still using fragmented payment systems? See the hidden costs and risks here.
16. Becker’s resources don’t stop here — explore more
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