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1. Humana to cut prior auth requirements, introduce gold card program Full story
2. Oscar Health is latest insurer to cut earnings guidance Full story
3. Avoid costly rip-and-replace projects — meet CMS mandates with existing tech here.
4. UnitedHealthcare's specialty benefits CEO departs Full story
5. Ohio system to stop offering some ACA plans Full story
6. Medical transport brokers can hinder care access. Payers are going in-house instead. Learn more here.
7. Prescription drug denials from private payers grow 25% in 7 years: Report Full story
8. HHS to probe 'misleading' Medicare Advantage marketing practices Full story
9. CMS: 2.8M people have potentially enrolled in Medicaid, ACA plans in multiple states Full story
10. Alaska lawmakers pass prior authorization reform bill Full story
11. Dr. Oz visits AtlantiCare, speaks with CEO Full story
12. Employer healthcare costs to jump 8% in 2025 — see 3 ways to prepare, here.
Becker's Learning Opportunities
13. The payer-provider collaboration blueprint — Lessons from OhioHealth and Medical Mutual here.
14. Chronic care at home: What's working for leading orgs? Find out here.
15. Joint care planning is no longer optional in VBC. See what works now — here.
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