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1. Molina lays off 250+ after contract loss Full story
2. Ocasio-Cortez calls for expanded UnitedHealth investigation after nursing home report Full story
3. DRG claim review uncovered $95K in overpayments on a $440K heart procedure due to unsupported codes. Expert clinical validation and smart claim selection helped reduce excess charges and deliver significant savings across states.
Full info.
4. Aetna subsidiary received $7M in Medicare Advantage overpayments: Audit Full story
5. Oregon law sets nation's strictest limits on corporate control of medical practices Full story
6. Payers are evolving UM to improve member health. Get proven strategies to boost outcomes: here.
7. 17% of Medicare Advantage claims are denied; 57% are overturned: Study Full story
8. Cigna, Allegheny Health Network face July 1 split Full story
9. Trump to roll back 'gimmick' Medicaid payment policy Full story
10. AI-faked celebrities drove deceptive ACA enrollments: Report Full story
11. 7 drugs in shortage Full story
12. Behavioral health wait times hit 67 days. See how top health plans are responding, here.
Becker's Learning Opportunities
13. GLP-1 + behavior support: Why it matters for outcomes and ROI. Watch here.
14. Employer healthcare costs to rise 8% in 2025. 3 steps to find the right benefits package: here.
15. AI is reshaping care management. How Blue Cross plans + others are getting ahead: here.
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