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1. ‘Volatility they now expect to be the norm’: Insurers’ financial issues are getting worse Full story
2. Luigi Mangione requests live broadcast of state murder trial Full story
3. Payment integrity leaders no longer have to trade audit quality for scale. See why here.
4. The thread running through payers’ and for-profit systems’ Q2 earnings Full story
5. UCare to lay off 102 as wind-down continues Full story
6. CMS is auditing 6 years of payments in 13 months. Get ahead here.
7. Senate confirms UnitedHealth exec as CDC director Full story
8. CMS to begin sharing GLP-1 Bridge utilization data with payers Full story
9. Oscar adds nearly 1 million members over past year Full story
10. GLP-1 coverage cuts reshape pharmacy competition Full story
11. 4 lawsuits testing where AI accountability lands in healthcare Full story
12. Claims processing and care coordination weren’t built for autonomous AI. See the fix, here.
Becker’s Learning Opportunities
13. When the NEMT audit arrives, your health plan is the responsible party. Prepare here.
14. New study uncovers what separates AI leaders and laggards. Get the payer-centric data here.
15. FHIR readiness isn’t enough. Build a smarter prior authorization strategy beyond compliance here.
16. Becker’s August webinar lineup: patient flow, pharmacy access and denials. See the sessions here.
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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