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1. Elevance sues former chief execution officer over noncompete agreement Full story
2. 6 insurers exiting ACA markets Full story
3. Becker’s Fall Payer Issues Roundtable convenes 500+ payer executives, 85+ speakers, and a keynote from Emmitt Smith. Two days in Chicago, Nov. 2-3, that close out the year for payer strategy. Apply to attend as a reviewer here.
4. Humana to sell remaining stake in hospice operator Gentiva for $900M Full story
5. Optum to cut 98 jobs in Illinois, close pharmacy facility Full story
6. Align rural strategy with growth, access + financial sustainability as $50B arrives here.
7. Federal employee health insurers face heightened fraud scrutiny Full story
8. CMS taps former Elevance exec to lead workforce strategy Full story
9. States show dramatic ACA enrollment drop-offs: 5 notes Full story
10. CalOptima approaches $1B in provider rate increases since 2024 Full story
11. Psychiatry, psychology groups urge Aetna to pause reimbursement cuts for behavioral health clinicians Full story
12. Payment integrity is moving upstream. See how plans balance margin and provider trust here.
Becker’s Learning Opportunities
13. Preference-sensitive surgery is quietly driving surgical spend — and most plans aren’t catching it. See why here.
14. BCBS Massachusetts and Highmark leaders share what separates clinical strategies that deliver from those that stall here.
15. Are your AI agents making confident but wrong decisions? Find out 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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