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1. Molina cuts earnings outlook a third time amid ACA challenges Full story
2. Optum launches AI-powered claims system 'to eliminate complexity and administrative waste' Full story
3. Old workflows, new risk. How health plans are modernizing UM with AI here.
4. Dr. Oz: Government shutdown not hurting Medicare open enrollment Full story
5. Health systems hit back at payers' 'aggressive coding' accusations Full story
6. This care model cut ED visits 12% for chronic inflammatory conditions. See how here.
7. Employer-sponsored family health coverage reaches $27K annually: Survey Full story
8. SCAN expands Costco partnership Full story
9. GLP-1 prescription rate relatively flat: Study Full story
10. Anthem Blue Cross, Cedars-Sinai extend contract Full story
11. States most, least prepared for aging population Full story
12. This health plan reduced C-sections 6% with digital care. See their strategy: here.
Becker's Learning Opportunities
13. 3 genAI use cases payers can deploy now to improve the member experience — here.
14. Detect midyear risk shifts sooner. Protect renewals and margin with this playbook here.
15. New quality benchmarks are coming to Medicaid plans. See how proactive payers are adjusting here.
16. Becker’s resources don’t stop here — explore more
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