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1. Benefits coverage for no-premium Medicare Advantage plans could drop 50% under 2027 proposed rate: AHIP Full story
2. 16 health plan leaders on the decisions that will define the next 5 years Full story
3. Value-based care is forcing tougher questions about member experience. Elevance + others unpack how they're adjusting engagement & incentives — join them at Becker's Spring Payer Issues Roundtable here.
4. Managed Medicaid goes from profit center to loss leader: 7 notes Full story
5. Aetna fined $550K in Pennsylvania for mental health parity violations Full story
6. Over 60% of adults struggle to access primary care. How payers can close gaps with accountable AI models here.
7. Why Ascendiun's CEO is kicking off a healthcare reform movement Full story
8. Centene pitches CMS on 7 Medicaid fraud reforms Full story
9. Where ACA premiums have risen most for older adults following expiration of enhanced subsidies Full story
10. 'Taking the finances off the table': Sanford COO talks alignment with health plans Full story
11. BCBS Vermont reports $63.3M in profit for 2025 Full story
12. See how health plans can coordinate thousands of care actions reliably here.
Becker's Learning Opportunities
13. 'Back to basics' may be more important than 'transformation' for payers. Learn why here.
14. Manual payment integrity workflows slow savings. 6 areas where AI accelerates rule creation and impact here.
15. 51% of consumers say the healthcare system is broken. Why trust defines 2026 strategy here.
16. Interested in more? See Becker’s full lineup of
webinars
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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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