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1. Humana insurance president to retire, replacement named Full story
2. Health plans losing nearly half of cases that reach independent medical review: Study Full story
3. Autonomous & proactive — Find a healthcare guide for AI's 3rd era here.
4. The highest-quality commercial health plans in California | 2025-26 Full story
5. New Hampshire lawmakers introduce bills targeting AI-driven claims audits, telehealth parity Full story
6. What's helping pharmacies meet payer rules + cut time-to-therapy? Find out here.
7. Highmark posts $69M loss through Q3 Full story
8. 10 largest insurers in the large group, small group and individual markets Full story
9. How payers are 'embracing AI's benefits' — and what's next: AHIP Full story
10. Traditional Medicare misses $7B in savings: Report Full story
11. How the AI conversation will change in 2026: 10 bold predictions Full story
12. Inflammatory drug spend is rising fast. This model lowered total medical costs 8%. See how here.
Becker's Learning Opportunities
13. Payer specialty drug strategy is changing. Get up to speed here.
14. OBBBA could reshape provider + payer risk. What to model first: here.
15. Denials can erode payer alignment. How hospitals are using data to shift the conversation, here.
16. Becker’s resources don’t stop here — explore more
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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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