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1. Jefferson Health sues Aetna over Medicare Advantage inpatient reimbursement policy Full story
2. Payers ranked by 2026 digital experience: JD Power Full story
3. Policy volatility is table stakes for payers now. The question is who adapts fastest. This November, 500+ payer executives and 70+ speakers gather in Chicago for Becker's Payer Issues Roundtable to unpack strategies for Medicaid sustainability, payer-provider alignment and upstream care. Join the conversation alongside Cigna, Elevance, Humana & more here.
4. As states scramble to supplement Medicaid cuts, MCO taxes are a tricky part of the equation Full story
5. Florida brokerage firm pleads guilty in $141M ACA enrollment fraud scheme Full story

6. Static reports fall short for multispecialty RCM. See what's next here.
7. Judge denies Minnesota's attempt to block $243M+ Medicaid deferral Full story
8. 10 providers seeking payer contracting talent Full story
9. West Virginia, New Mexico to roll out Medigap 'birthday rules' Full story
10. CMS Innovation Center spent $7.9B in 1 decade: 7 notes Full story
11. Healthcare affordability leads as Americans' top concern: Gallup Full story

12. Legacy payment systems are costing payers more than expected. Learn why here.
Becker's Learning Opportunities
13. Star Ratings still drive revenue lift, How top plans operationalize quality before the visit here.
14. Up to 43% of AI medical answers may be unsafe. What safe, physician-supervised AI looks like here.
15. Members don't trust your portal as much as you think. Get the insights: 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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