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1. Payers' prior authorization denial rates go public: 5 notes Full story
2. Elevance makes 6 senior leadership appointments Full story
3. Policy volatility is table stakes for payers now. The question is who adapts fastest. This November, 500+ payer executives and 70+ speakers gather in Chicago for Becker's Payer Issues Roundtable to unpack strategies for Medicaid sustainability, payer-provider alignment and upstream care. Join the conversation alongside Cigna, Elevance, Humana & more here.
4. CareFirst BCBS taps Elevance's Medicaid president as next CEO Full story
5. BCBS Texas, Memorial Hermann near contract deadline Full story
6. Health plans are moving beyond payment integrity with AI to reduce costs and improve affordability.
Learn more.
7. CVS Caremark, BCBS overcharged federal employee health plan $615M: Audit Full story
8. ACA enrollment at 23.1 million in 2026 as average premium rises Full story
9. 17 Senate Dems push back on 2027 ACA proposal Full story
10. Top PBMs by 2025 market share Full story
11. 2 in 3 healthcare executives considering exit: Survey Full story
12. Disconnected analytics hurt medical loss ratio performance. See payer strategies to improve here.
Becker's Learning Opportunities
13. Health systems are redefining specialty medication access with integrated solutions. Learn how here.
14. 52% of cancer ED visits are avoidable. See how better care coordination reduces spend here.
15. Up to 43% of AI medical answers may be unsafe. What safe, physician-supervised AI looks like here.
16. Interested in more? See Becker’s full lineup of
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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