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1. WSJ: Former UnitedHealth employees questioned in DOJ investigation Full story
2. CVS' Omnicare hit with $949M penalty in False Claims case Full story
3. BCBS, Cigna & Humana are rethinking cost, access and experience. Their game plan — here.
4. New York payer president abruptly departs Full story
5. This prescription drug tool didn't result in Medicare Advantage savings: Study Full story
6. Joint care planning is no longer optional in VBC. See what works now — here.
7. Alignment Healthcare wins star ratings lawsuit against CMS Full story
8. Insurers paid $10.4B in ACA risk adjustment payments in 2024: 5 notes Full story
9. Humana launches Virginia Medicaid plan Full story
10. These 1% of patients cost hospitals $800M annually: 5 notes Full story
11. Trump administration gets green light to lay off federal workers Full story
12. The AI agent advantage is real — and reshaping member trust. What payers should know: here.
Becker's Learning Opportunities
13. New evidence could cut spend & improve chronic wound outcomes. What payers should know, here.
14. What top employers are doing to beat rising costs — download the playbook here.
15. 35% of consumers skip care without pricing clarity. Fix transparency gaps — strategies here.
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