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1. CMS recalculates MA star ratings payments in wake of Clover lawsuit Full story
2. 24 health systems dropping Medicare Advantage plans Full story
3. Two days, 500+ payer executives, 85+ speakers. Becker’s 5th Annual Fall Payer Issues Roundtable, Nov 2-3, Chicago. Apply to attend as a reviewer here.
4. 45-hospital network in Texas to end UnitedHealthcare contracts Full story
5. 47% of voters blame insurers for rising healthcare costs: Poll Full story
6. BCBS Massachusetts and Highmark leaders share what separates clinical strategies that deliver from those that stall here.
7. PBMs take Tennessee, Illinois to federal court over pharmacy laws Full story
8. Bankrupt hospital loses court bid to force higher BCBS Alabama rates Full story
9. ‘Is AI going to take my job?’: What’s top of mind for health plan employees Full story
10. The Medicare opt-out wave and what it means for ASCs Full story
11. BCBS Mississippi updates HIV guidelines following accusation of insufficient coverage Full story
12. Payment integrity is moving upstream. See how plans balance margin and provider trust here.
Becker’s Learning Opportunities
13. Preference-sensitive surgery is quietly driving surgical spend — and most plans aren’t catching it. See why here.
14. Are your AI agents making confident but wrong decisions? Find out here.
15. Where does cancer support break down for your members? Find the gaps — and fixes — 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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