June 16, 2025

1. CMS ordered to provide Medicaid data to immigration officials: Report Full story

2. UNC Health sues Aetna, Humana for alleged 340B drug underpayments Full story

3. Medicare Advantage, AI: What's really shaping payer strategy in 2025? Find out at Becker's roundtable, here.

4. Mercy, Humana open joint clinics Full story

5. 'Fundamental lack of transparency' plagues $86B Medicare Advantage expense Full story

 

6. CMS is cracking down on prior auth delays. What payers need to know: here.

7. How Congress members get their health insurance Full story

8. Why hospitals are doubling down on 'payer scorecards' Full story

9. Physicians' prior auth burden: 10 stats Full story

10. 16K hours saved: Ambient AI scribes at Kaiser Permanente Full story

11. Medical groups urge insurers to continue covering COVID shots for pregnant women Full story

 

12. Priority Health reengineered its ops — How the plan turned complexity into efficiency here.

Becker's Learning Opportunities

13. New chronic wound research could shift coverage policies. What payers should know — here.

14. CMS-0057, UM and interoperability — Find out what health plans must do to prepare, here.

15. 35% of consumers skip care without pricing clarity. Fix transparency gaps — strategies here.

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