July 3, 2025

1. BCBS Tennessee to lay off 150, close subsidiary Full story

2. Former Molina CEO: 'Just the beginning of a major downturn' for insurers Full story

3. New Jersey provider cut MSK costs 81% with home-based care — see how it worked here.

4. UnitedHealthcare loses challenge over Minnesota law banning for-profit Medicaid plans Full story

5. Federal False Claims Act task force to focus on Medicare Advantage Full story

 

6. Joint care planning is no longer optional in VBC. See what works now — here.

7. Ohio drops GLP-1 coverage for state employees Full story

8. Astrana Health acquires Prospect Health Plan Full story

9. 4 PBM updates Full story

10. CMS proposes a 6.4% payment decrease for home health agencies Full story

11. What revenue cycle leaders think of payers' prior auth pledge Full story

 

12. Confused members cost you. Get smarter AI-driven care navigation strategies: here.

Becker's Learning Opportunities

13. The 360-degree member view that changed everything. Inside Priority Health's operational transformation here.

14. New chronic wound research could shift coverage policies. What payers should know — here.

15. What top employers are doing to beat rising costs — download the playbook here.

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