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1. Ohio Chamber sues UnitedHealthcare over alleged effort to poach members Full story
2. 6 payer reimbursement changes to know in September Full story
3. Member services roles take 30–60 days to fill — and open enrollment doesn’t wait. See how leading health plans time their hiring here.
4. Texas investigating TriWest over military care denials Full story
5. Louisiana’s Medicaid contract with Elevance-BCBS venture to end, affecting 290,000 Full story
6. Community Health Choice’s risk adjustment director on what retrospective review misses here.
7. UnitedHealthcare to participate in Mississippi’s short-term plans push Full story
8. Medicare Advantage disenrollment jumps with each complex diagnosis: Study Full story
9. 12 recent RCM company M&A moves Full story
10. Johns Hopkins Health Plans names interim CEO Full story
11. 12 new drugs in shortage Full story
12. Claims processing and care coordination weren’t built for autonomous AI. See the fix, here.
Becker’s Learning Opportunities
13. Governed AI agents can raise audit hit rates at scale. Learn how here.
14. How Highmark turned employer reporting into a driver of renewals and growth here.
15. Evry Health rebuilt cancer care around oncologists and saw a 3.4:1 return here.
16. Becker’s September webinar lineup: patient safety, referral intake, AI trust and supply chain data. 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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