A sudden Medicare Advantage exit + MA, prior auth and AI consume payers’ Q1
May 7, 2026

1. Illinois payer to shutter Medicare Advantage business in 24 days Full story

2. 'The status quo is unsustainable': MA pressures, prior auth reform and scaling AI consume payers in Q1 Full story

3. Regulatory pressure is exposing chart chase gaps. How payers are adapting with real-time data here.

4. Federal vs. state AI rules: What payers need to know Full story

5. Oscar Health launches ICHRA-oriented data exchange Full story

 

6. Five themes. Real decisions. No platitudes. The Payer Agenda captures what health plan leaders told each other at Becker's Spring Payer Issues Roundtable. Download the briefing here.

7. CVS Health Ventures invests in autonomous medical coding company Full story

8. Massachusetts settles with insurer for $5M over deceptive plan sales Full story

9. Health insurers' 'direct-to-consumer' push: 5 notes Full story

10. 'Dynamics we haven't experienced before': Hospitals absorb costs as patients lose coverage, skip Medicaid Full story

11. 10 providers seeking payer contracting talent Full story

 

12. Partnerships look aligned on paper but fail in practice. Leaders share how to execute at scale here.

Becker's Learning Opportunities

13. Rural access gaps persist. How health plans are rethinking transportation strategies here.

14. AI is now the first step in care for many members. Is your plan ready? Find out here.

15. What are leading payers doing differently in payment integrity? Find out 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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