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1. House panel votes to block funding for WISeR prior authorization pilot Full story
2. White House warns 500+ hospitals to post price information or face fines: Report Full story
3. GLP-1s are reshaping pharmacy economics for every health plan, ICHRA is changing the employer-sponsored market, and direct contracting is shifting the network model. All three are on the agenda Nov 2-3 in Chicago. Apply to attend Becker’s Fall Payer Issues Roundtable as a reviewer here.
4. 10 providers seeking payer contracting talent Full story
5. Optum to cut 92 jobs in California Full story
6. Most GLP-1 patients quit within a year. A smarter benefit design changes that — learn how here.
7. Judge pauses CareFirst’s Medicare Advantage star ratings lawsuit in wake of Clover win Full story
8. Highmark taps UnitedHealth exec to lead government business Full story
9. Could Arizona swap traditional state employee health plans for ICHRAs? Full story
10. The payer problem behind rural America’s maternity care crisis Full story
11. Why AdventHealth thinks it can sell an internal health plan model to employers Full story
12. Members don’t trust your portal as much as you think. Get the insights: here.
Becker’s Learning Opportunities
13. Up to 43% of AI medical answers may be unsafe. What safe, physician-supervised AI looks like here.
14. 52% of cancer ED visits are avoidable. See how better care coordination reduces spend here.
15. Legacy payment systems are costing payers more than expected. Learn why 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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