Payers report Q3 profits, Cambia, BCBS Ark. affiliate, CMS launching Medicaid drug cost pilot

November 7, 2025

1. Payers ranked by Q3 profits Full story

2. Cambia, BCBS Arkansas announce strategic affiliation Full story

3. This VBC-aligned autism model expands access — without more provider hours. See how here.

4. Trump strikes deal to lower cost of obesity drugs for Medicare, Medicaid beneficiaries Full story

5. CMS launches international pricing model for Medicaid drugs: 8 notes Full story

 

6. Proactive, member-first MA care in action: How SCAN makes it work at scale here.

7. Health insurance is 'not meant to be sexy': eternalHealth CEO on what really matters for payers, members Full story

8. 2 Florida systems partner on ACA plan Full story

9. Nebraska system to sell third-party administrator, focus on 'delivery of patient care' Full story

10. Georgia's cautionary tale for hospitals as Medicaid work rules expand Full story

11. AI increasingly responsible for job cuts: Report Full story

 

12. UM reform pressure is rising. What the AHIP + CMS pledge means now — and next — here.

Becker's Learning Opportunities

13. Old workflows, new risk. How health plans are modernizing UM with AI here.

14. AI in UM + clinical workflows: What payers should demand from vendors, here.

15. Interoperability without a full IT rebuild? How this org did it — and saved millions — here.

16. Becker’s resources don’t stop here — explore more webinars and whitepapers.

 
 

 

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