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1. Hospital groups call on Elevance to rescind 'punitive' 10% hospital penalty for using out-of-network providers Full story
2. CMS' long-term enhanced ACO design model: 6 things to know Full story
3. Regulators are cracking down on Medicare Advantage and Medicaid.
Join
industry experts as they unpack CMS’s latest audit focus and what payers must do now to stay compliant. Don’t miss this essential update.
4. Humana received $10.5M in Medicare Advantage overpayments, OIG audit finds Full story
5. Judge greenlights $6.75M-cap settlement for UnitedHealthcare to reimburse cancer patients Full story
6. 2027 isn't far off. Forecast your Medicaid risk under OBBBA — here.
7. Minnesota assumes control of UCare Full story
8. CMS terminates Medicare Advantage contract in Texas Full story
9. Where payers stand in the 'AI arms race' with providers Full story
10. The 3 biggest Medicare Advantage trends of 2025 Full story
11. More GLP-1s aim to enter US market Full story
12. New report — The payer specialty drug trends health systems need to watch here.
Becker's Learning Opportunities
13. Specialty drug spend ballooning? See payer actions that reduce admissions 22% here.
14. Manual steps create mismatched CPT codes and denials. Strategies to improve accuracy here.
15. Pilot purgatory blocks access progress. Clarify ROI and scale automation with this framework here.
16. Becker’s resources don’t stop here — explore more
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whitepapers.
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