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1. Payers play it cool on looming Medicaid work rules as Nebraska begins first cuts Full story
2. Insurers propose 14% small group premium bump for 2027: 7 notes Full story
3. EMR data overload slows utilization review. More efficiency in highlighting what matters here.
4. Missouri health system to stop offering ACA plans, partners with Oscar Full story
5. Anthem Indiana president details new ortho network employer savings Full story
6. Every 4-week delay raises cancer mortality risk 6–8%. See how payers reduce delays here.
7. CVS Caremark taps chief growth officer Full story
8. CMS lifts enrollment suspension on Maryland Medicare Advantage plan Full story
9. 7 recent Medicare Advantage fraud settlements Full story
10. Clover posts $28M Q2 profit, rebounds from earlier loss Full story
11. Elevance names president for Georgia Medicaid subsidiary Full story
12. 92% of insurers have AI budgets. What’s turning spend into impact here.
Becker’s Learning Opportunities
13. MSK spend quietly draining margins? See what claims data reveals here.
14. OIG is intensifying scrutiny on sepsis DRG shifts. Learn why here.
15. Can your health plan prove the NEMT trips it pays for? Find out — and understand the risk — here.
16. Becker’s August webinar lineup: patient flow, pharmacy access and denials. 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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