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1. How a Texas payer cut prior auth denials to 7% ahead of industry reform pledge Full story
2. CVS Caremark ordered to pay $95M for inflating Medicare drug prices Full story
3. CMS is cracking down on prior auth delays. What payers need to know: here.
4. Insurers lagging on customer experience, brand perception: 5 things to know Full story
5. Healthcare billing fraud: 10 recent cases Full story

6. DTC care is exploding. How 5 of the 7 biggest health plans are competing: here.
7. Optum launches AI marketplace Full story
8. CMS head urges PBMs to end drug rebates Full story
9. UnitedHealth Group in the headlines: 10 updates Full story
10. Only 8% of GLP-1 users stay on treatment after 3 years: Study Full story
11. Medicaid top of mind for payer execs: 15 leaders' biggest priorities Full story

12. The scalable AI approach that works: How this provider-sponsored health plan transformed its operations here.
Becker's Learning Opportunities
13. New evidence could cut spend & improve chronic wound outcomes. What payers should know, here.
14. Outdated UM strategies won't work with new CMS requirements. How payers are preparing for CMS-0057: here.
15. The AI agent advantage is real — and reshaping member trust. What payers should know: here.
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