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1. Insurers are under siege heading into 2027 Full story
2. Employer use of ‘Big 3’ PBMs declines Full story
3. What is credentialing really costing your health plan? Explore five overlooked cost drivers here.
4. ICHRA market doubles to 500,000 enrollees: Report Full story
5. 11 recent payer fines from states Full story
6. Governed AI agents can raise audit hit rates at scale. Learn how here.
7. Humana, Cityblock partnership reaches 20,000 Medicare Advantage members in North Carolina Full story
8. St. Luke’s, UnitedHealthcare automate 88% of claim statuses via Epic Full story
9. Medicaid’s rocky summer: 6 states to watch Full story
10. Elevance-backed physician group, Franciscan Alliance partner in value-based care push Full story
11. Arkansas requests 2-year extension of Medicaid expansion waiver Full story
12. OCD goes untreated for 17 years on average. Health plans can change that here.
Becker’s Learning Opportunities
13. What’s driving your plan’s rising lab spend isn’t more tests. Find out here.
14. Expand, reduce, or reinvent? A three-path framework for the service line moves ahead here.
15. When the NEMT audit arrives, your health plan is the responsible party. Prepare 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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