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1. DOJ steps up crackdown on Medicare Advantage upcoding Full story
2. ‘No-regret moves’: A regional Wisconsin insurer goes on the acquisition offense Full story
3. Becker’s has covered value-based care across finance, payer, clinical and post-acute. Now it has its own newsletter, launching Sept. 1. Subscribe here.
4. Centene names new CIO Full story
5. Labor Department eyes rule expanding association health plans Full story
6. A physician-led cancer care model caught a misdiagnosis, avoiding $174,000 in unnecessary treatment. This webinar shows how. Register in one click.
7. Half of patients stop semaglutide within a year: 6 study notes Full story
8. Florida sues Express Scripts, Prime Therapeutics over alleged price fixing Full story
9. UPMC Health Plan posts $447M operating income in first half of 2026 Full story
10. Optum Rx taps employer, government markets president Full story
11. 1 in 5 employed Medicaid expansion enrollees could be at risk of losing coverage over work rules Full story
12. Highmark turned employer reporting into a competitive edge. This webinar shows how. Sign up in one click.
Becker’s Learning Opportunities
13. Governed AI agents can raise audit hit rates at scale. Learn how here.
14. Faster reviews, same defensibility? How payers are testing AI in utilization management here.
15. CMS APIs go live January 2027. Simplify prior authorization without disrupting provider workflows here.
16. Becker’s late-August webinar lineup: patient safety, referral intake, AI trust and supply chain data. See the sessions here.
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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