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1. The lowest-rated health plans of 2026: NCQA Full story
2. Elevance wins dismissal of provider lawsuit over $1.7M in unpaid No Surprises awards Full story
3. Can claims data help anticipate risk, variation, and utilization in care delivery? An expert provides insights. Read more.
4. 73% of small, mid-size employers considering dropping group coverage in 2027: Survey Full story
5. ‘A manufactured problem’: AMA pushes for CMS to hold firm on electronic prior auth deadline Full story
6. Humana, Cigna, Elevance, Centene and CVS Health Aetna leadership are all confirmed at Becker’s Fall Payer Issues Roundtable Nov. 2-3 in Chicago. Apply to attend as a reviewer here.
7. Lilly captures 70% of new Medicare GLP-1 patients, CEO says Full story
8. HCA-affiliated hospitals in Texas sue Independence Blue Cross over claim denials Full story
9. Physician groups, patients sue CMS over Medicaid work requirements Full story
10. Chief medical officer for CVS’ Oak Street Health steps down Full story
11. 10 providers seeking payer contracting talent Full story
12. Self-care MSK pathways linked to 79% lower spend in Medicare Advantage. Study here.
Becker’s Learning Opportunities
13. Companies spend heavily on employee wellness. Most programs still can’t prove they work. Research here.
14. Turning raw utilization data into decisions employers act on takes more than a dashboard — it takes the right data architecture. See how Highmark did it, in this webinar.
15. Coordination alone won’t fix cancer costs. Evry Health’s CMO on what will here.
16. Becker’s upcoming webinars: between-visit oncology care, revenue cycle scaling and consumer AI. 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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