|
1. Elevance reports $1.5B profit in Q2, membership dip Full story
2. SCAN, Alignment sue CMS over 2026 star ratings recalculation Full story
3. Learn how Medica is scaling bi-directional data exchange across 27,000 providers to improve care coordination, share actionable plan insights within EPIC® workflows, and build a unified source of digital truth.
4. Ad campaign backed by insurers, employers adds fuel to ‘No Surprises’ enforcement discourse Full story
5. Alignment loses 2025 star ratings appeal against CMS Full story
6. Star Ratings still drive revenue lift, How top plans operationalize quality before the visit here.
7. CVS Caremark, FTC settle insulin pricing case for $13B Full story
8. Humana senior Medicare exec to depart Full story
9. HCA now expects up to $1.2B hit from ACA headwinds Full story
10. Medicare hospice spending nearly doubled in 10 years: 5 notes Full story
11. Physician pay drops, ACOs gain under CMS’ 2027 proposal: 8 things to know Full story
12. Independence Blue Cross, SCAN, SelectHealth + others on what’s really driving member behavior, here.
Becker’s Learning Opportunities
13. Claims processing and care coordination weren’t built for autonomous AI. See the fix, here.
14. When the NEMT audit arrives, your health plan is the responsible party. Prepare here.
15. FHIR readiness isn’t enough. Build a smarter prior authorization strategy beyond compliance 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.
|
