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1. Humana turns $694M Q2 profit amid Medicare Advantage, CenterWell growth Full story
2. ACA subsidy fallout favors insurers, pressures hospitals’ payer mix Full story
3. New study uncovers what separates AI leaders and laggards. Get the payer-centric data here.
4. CMS to end Medicare Part D stabilization program Full story
5. Centene’s ICHRA membership hits 50,000 Full story
6. When the NEMT audit arrives, your health plan is the responsible party. Prepare here.
7. HHS launches behavioral health pledge as Optum preps new services Full story
8. Humana elects Anthropic exec to board of directors Full story
9. GuideWell taps Health Net CEO to lead commercial business Full story
10. CMS Medicaid fraud unit flags 50 providers, $203M in payments Full story
11. Firefly Health to be acquired Full story
12. Claims processing and care coordination weren’t built for autonomous AI. See the fix, here.
Becker’s Learning Opportunities
13. The plans improving their Star Ratings aren’t buying more tools. See what they are doing here.
14. EMR data overload slows utilization review. More efficiency in highlighting what matters here.
15. Every 4-week delay raises cancer mortality risk 6–8%. See how payers reduce delays 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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