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1. Payers to reduce prior authorizations Full story
2. CMS finalizes rule to improve ACA marketplace integrity, lower premiums Full story
3. What's next for value-based care? Aetna, Emblem & BCBS are scaling smarter models — learn how, here.
4. New York City reverses course on implementing Aetna Medicare Advantage plan Full story
5. CMS raises Medicare Advantage commission caps for 2026: 3 notes Full story
6. Priority Health reengineered its ops — How the plan turned complexity into efficiency here.
7. The Trump administration's approach to PBMs, so far: 5 things to know Full story
8. 10 providers seeking payer contracting talent Full story
9. ACC endorses first-line use of GLP-1s for heart health Full story
10. 12 drugs in shortage Full story
11. A look at Google's recent healthcare moves Full story
12. Chronic wounds are costly. New data could reshape treatment & coverage policies — details here.
Becker's Learning Opportunities
13. CMS-0057 requirements are approaching fast. Hear top ways health plans are preparing — here.
14. The AI agent advantage is real — and reshaping member trust. What payers should know: here.
15. Data-driven leadership: Lessons from CHI Health + more here.
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