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1. Lowest-rated Medicare Advantage plans for member satisfaction in 2026: JD Power Full story
2. Health plan CFOs struggle to prove AI’s value: Report Full story
3. The bar for risk adjustment performance is rising. Health plans are rethinking how they measure coding vendor accuracy and operational efficiency. Learn more.
4. Centene’s Health Net taps CEO from Nevada plan Full story
5. Alignment looks to dismiss whistleblower complaint from former executive Full story
6. CMS is auditing 6 years of payments in 13 months. Get ahead here.
7. New York failed to ensure Medicaid insurers followed mental health parity rules: OIG Full story
8. UnitedHealth Group in the headlines: 10 updates Full story
9. Northwell’s direct contracting business wants to ‘link up’ with other health systems Full story
10. ‘No-brainer’: PBMs commit to posting TrumpRx price comparisons Full story
11. Epic’s roadmap: 12 takeaways from Judy Faulkner Full story
12. OCD goes untreated for 17 years on average. Health plans can change that here.
Becker’s Learning Opportunities
13. Payment integrity leaders no longer have to trade audit quality for scale. See why here.
14. Evry Health rebuilt cancer care around oncologists and saw a 3.4:1 return here.
15. Reduce unnecessary utilization and prove program impact: how Highmark equips national accounts here.
16. Becker’s August webinar lineup: CDI, remote monitoring, revenue cycle AI and staff safety. 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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