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1. The healthiest, unhealthiest states for older adults in 2026: United Health Foundation Full story
2. 300,000 in limbo as BCBS Michigan, Michigan Medicine clash over reimbursement Full story
3. Shift payment integrity left: stop waste earlier, reduce costs, and drive smarter outcomes with
proactive payer strategies.
4. Cigna must go to trial over alleged failure to pay $6M for COVID testing Full story
5. Former NFL player sentenced 16 years in scheme to defraud Medicare Full story
6. Leading payers are rethinking payment integrity with AI. See what's changing here.
7. Alignment shuffles board leadership, names 2 other execs Full story
8. CMS freezes new hospice, home health enrollments amid fraud crackdown Full story
9. 4 recommendations to bring oversight to AI-driven prior auth: MACPAC Full story
10. Maine's state employee health plan expects $3M in annual savings with GLP-1 coverage shift Full story
11. North Carolina Medicaid, state health plan score $4.2M each from $11M EpiPen settlement Full story
12. 52% fewer inpatient admissions. The path to identifying high-risk members sooner here.
Becker's Learning Opportunities
13. Most GLP-1 patients quit within a year. A smarter benefit design changes that — learn how here.
14. Transportation is care delivery infrastructure. How CenCal Health, Meridian and Oscar are responding here.
15. Real-time data exchange is reshaping prior authorization. How leading organizations streamline decisions and 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.
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