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1. Elevance senior executive fights DOJ deposition bid in Medicare Advantage fraud case Full story
2. What's the latest on prior authorization reform? Full story
3. The AI front door is already open for your patients. What leaders need to know — here.
4. UnitedHealthcare begins issuing some commercial claims payments in real time Full story
5. Fabricated medical records may be the real AI fraud threat: Highmark exec Full story
6. Alignment is easy. Execution is hard. See how payer-provider leaders are closing the gap here.
7. Half of CVS Health's PBM clients cover GLP-1s for weight loss Full story
8. 7 new drugs in shortage Full story
9. 'US has gone into a peptide craziness': Wegovy pill nets 2 million scripts since launch Full story
10. Clover Health sets sights on 1st year of GAAP profitability Full story
11. Legacy back in network with Regence Full story
12. Rural access gaps persist. How health plans are rethinking transportation strategies here.
Becker's Learning Opportunities
13. Risk adjustment is under pressure. Why clinical-first strategies are replacing retrospective workflows here.
14. What are leading payers doing differently in payment integrity? Find out here.
15. CMS-0057-F demands interoperability. How health systems are preparing prior authorization workflows for compliance here.
16. Becker's resources don't stop here — explore more
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