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1. Elevance pays CMS $342M amid Medicare Advantage sanctions threat Full story
2. Kaiser's health plan to pay $82M in emergency reimbursement dispute Full story
3. "Different opinions and perspectives from leaders in this space." – Allison Soto, Senior Manager, Aetna. 500+ payer executives are gathering Nov. 2-3 in Chicago at Becker's Fall Payer Issues Roundtable. Apply to attend as a reviewer here.
4. 5 insights from payers' 2027 ACA rate filings so far Full story
5. 31 House Democrats press CMS on Medicare prior authorization pilot Full story
6. Mental illness drives $282B in annual costs. How payers are responding here.
7. Centene names JPMorgan veteran to board of directors Full story
8. Lawmakers pitch cap on Medicare beneficiary out-of-pocket costs Full story
9. IBX names chief commercial officer Full story
10. What separates Ascension's ASC playbook from Optum's Full story
11. 10 states with steepest child enrollment declines across Medicaid, CHIP Full story
12. Are your AI agents making confident but wrong decisions? Find out here.
Becker's Learning Opportunities
13. Independence Blue Cross, SCAN, SelectHealth + others on what's really driving member behavior, here.
14. Health plans can't afford to ignore this AI billing problem. Learn why here.
15. The AMA flagged 5 payer workarounds to the NSA. The RCM response, here.
16. Becker's resources don't stop here — explore more webinars and whitepapers.
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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