MA star ratings, PBM reform and mental health gaps — key payer updates this week

October 13, 2025

1. Eighteen 5-star Medicare Advantage plans Full story

2. 23 Medicare Advantage plans rated below 3 stars Full story

3. GLP-1s alone aren't enough to drive real outcomes. What top orgs add to boost results: here.

4. California reins in pharmacy benefit managers Full story

5. Cigna OKs $5.7M settlement in 'ghost network' lawsuit Full story

 

6. Can your care model compete with retail clinics + AI apps? Hartford HealthCare's can — see how here.

7. HHS reverses hundreds of CDC layoffs Full story

8. 5 numbers depict insured workers' struggles to access mental healthcare Full story

9. Rhode Island eyes sunset for GLP-1 Medicaid weight loss coverage Full story

10. Maryland consolidates Medicaid waiver programs amid lawsuit Full story

11. Healthcare ranks among industries with most stressed managers: LinkedIn Full story

 

12. Messy provider data kills AI. See the CIO strategy that can fix it here.

Becker's Learning Opportunities

13. AI connects documentation to guidelines in real time. Why that matters for payers here.

14. UM reform pressure is rising. What the AHIP + CMS pledge means now — and next — here.

15. What recent federal policy means for payer-provider alignment. Cigna weighs in here.

16. Becker’s resources don’t stop here — explore more webinars and whitepapers.

17. Join the Becker's Healthcare Payer Leadership Network — an exclusive, off-the-record virtual community for health insurance executives to share insights and shape coverage of key financial issues in healthcare. Join here.

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