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1. ‘A story that it knows is untrue’: Optum moves to get Maryland’s Medicaid lawsuit tossed Full story
2. Elevance’s new site-of-care rules put hospitals on alert Full story
3. Beyond Reporting: The New Retention Strategy for Health Plans. Discover why forward-thinking health plans are replacing static reports with performance management strategies that improve employer retention and drive growth.
4. ‘Stabilization to improvement’: Elevance, Molina see Medicaid margins turning in 2027 Full story
5. DOJ charges 15, including physicians, in alleged healthcare fraud cases totaling $2B Full story
6. Risk adjustment without the annual scramble: See why perspectives from informatics and actuarial teams help — in this webinar.
7. House bill targets Medicare Advantage star ratings methodology Full story
8. 4 insurers exiting Medicaid markets Full story
9. Tufts Medicine, BCBS Massachusetts join forces on employee health plan, prior authorization AI Full story
10. ‘Now’s the right time’: Why an Idaho health system is launching a Medicare Advantage plan Full story
11. Senior adviser to RFK Jr. resigns Full story
12. Learn how BCBS South Carolina built a business case that turns social risk into measurable savings during this webinar. Register with one click.
Becker’s Learning Opportunities
13. Duplicate member records inflate costs across every interaction. The fix, in this webinar. Register with one click.
14. The strongest MA plans spot avoidable spend and missed reimbursement in one strategy — not two. See how in this webinar. Sign up with one click.
15. When every department buys its own AI, costs and risks multiply. Learn a smarter approach during this webinar. Register with one click.
16. Becker’s upcoming webinars: network fragmentation, cloud ERP readiness and physician compensation 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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