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1. Optum partners with Anthropic Full story
2. Judge dismisses another No Surprises lawsuit from Elevance Full story
3. As Medicare and Medicaid scrutiny grows, learn how leading health plans are implementing defensible prepay strategies while balancing compliance, risk, and provider relationships.
4. CMS orders corrective action plan for AI vendor in Medicare prior authorization pilot Full story
5. CVS CEO says GLP-1 ‘economics simply aren’t there yet’ for employers: Washington Post Full story
6. Humana, Cigna, Elevance, Centene and CVS Health Aetna leadership are all confirmed at Becker’s Fall Payer Issues Roundtable Nov. 2-3 in Chicago. Apply to attend as a reviewer here.
7. Unauthorized ACA enrollment, plan change complaints up fourfold since 2023: GAO Full story
8. 4 Centene headlines to know Full story
9. Brand-name drug denials surge: JAMA Full story
10. 11 healthcare bankruptcies in 2026 Full story
11. OpenEvidence beats Claude, Gemini, GPT-5.5 in new physician-led study Full story
12. A crawl-walk-run roadmap for scaling AI agents across payer operations: here.
Becker’s Learning Opportunities
13. EMR data overload slows utilization review. More efficiency in highlighting what matters here.
14. Every 4-week delay raises cancer mortality risk 6–8%. See how payers reduce delays here.
15. 60M adults are overdue for CRC screening. See how health plans close gaps 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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