CMS is going to ramp up MA audits and Cigna has agreed to make big PBM changes

February 5, 2026

1. Aetna to cut more than 300 jobs Full story

2. CMS says Medicare Advantage overpayment recoveries will begin soon Full story

3. How a top plan found 30% of RADV charts instantly. Click here to learn how.

4. FTC deal over insulin prices forces Cigna's Express Scripts to overhaul policies Full story

5. Optum rolls out AI-powered prior authorization tools for payers, providers Full story

 

6. The AI foundations payers need to meaningfully support VBC programs — here.

7. Former Humana CEO named interim chief at HP Full story

8. Cigna posts $6B profit in 2025 Full story

9. The 12 best payer tools in 2026, per KLAS Full story

10. 5 things to know about GLP-1 use in Medicare: KFF Full story

11. Johns Hopkins Health Plans exec tapped as Medicare Advantage compliance forum chair Full story

 

12. See how health plans can coordinate thousands of care actions reliably here.

Becker's Learning Opportunities

13. Over 60% of adults struggle to access primary care. How payers can close gaps with accountable AI models here.

14. Cutting costs without clinician buy-in fails. Ardent Health empowered physicians and sustained impact here.

15. Clinicians face growing complexity across 2 heart failure syndromes. SSM Health + University of Glasgow explain 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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