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1. Centene’s Health Net to exit commercial group market in California, Oregon Full story
2. Part D plans paid $587.7M for over-the-counter drugs mislabeled as prescription-only: OIG Full story
3. If you work in commercial, MA or Medicaid strategy at a health plan, the peers comparing what’s working in your line of business are gathering Nov. 2-3 in Chicago. Apply to attend Becker’s Fall Payer Issues Roundtable as a reviewer here.
4. State-run ACA marketplace enrollment down 8.5%: 7 notes Full story
5. Site-neutral imaging payments could save $9.7B across Medicare, commercial markets: BCBS Association Full story
6. Highmark’s sales enablement VP on turning employer data into stronger renewals here.
7. UnitedHealthcare’s Illinois commercial CEO to oversee Wisconsin, Michigan Full story
8. Self-pay hospital visits spike as coverage losses mount Full story
9. 13 weight-loss drugs in the pipeline: What’s ahead for each Full story
10. IBX expands subsidized degree opportunities for employees Full story
11. 10 fastest-growing healthcare jobs, ranked Full story
12. Value-based care runs on reliable claims data. See how data leaders keep it trusted in this webinar.
Becker’s Learning Opportunities
13. AI agents are eliminating the tradeoff between audit quality and scale. Learn how during this webinar. Register with one click.
14. Post-denial cleanup can’t keep pace with payer policy churn. Get the upstream workflow here.
15. Practical steps to speed payment in the next 30 days — live session here.
16. Becker’s September webinar lineup: hospital AI, nonopioid pain care and analytics governance. See the sessions here.
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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