May 15, 2025

1. UnitedHealth under criminal investigation for alleged Medicare Advantage fraud: WSJ Full story

2. California governor proposes rolling back Medi-Cal coverage for undocumented immigrants: 5 notes Full story

3. 43% drop in MSK spend. How payers are doing it now — details here.

4. Medicare Advantage in the headlines: 8 updates Full story

5. UnitedHealth settles cancer coverage lawsuit for $9M Full story

 

6. Too many HR teams make decisions in the dark. Pinpoint the right benefits for ROI, here.

7. House GOP pushes for big changes to HDHPs, HSAs Full story

8. Zepbound beats Wegovy for weight loss: Study Full story

9. Connecticut considers bill to cap out-of-network costs Full story

10. ACA enrollment hits another record high Full story

11. Can digital tools 'Make America Healthy Again'? CMS asks public Full story

 

12. Care gaps raise red flags. How Hunt Regional improved documentation here.

Becker's Learning Opportunities

13. Most plans value personalization. Just 34% deliver it. See what's missing: here.

14. Hospitals and payers are aligning on pricing strategy. What it means for margins: here.

15. Forward-thinking OR strategies from CommonSpirit, Rush + OHSU: here.

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