October 2, 2025

1. Cigna debuts controversial downcoding policy; on hold for California HMO plans Full story

2. UnitedHealthcare cut to CRNA services goes into effect Full story

3. New case study: LTACHs cut sepsis readmissions — and payer costs. See the data here.

4. The CMS activities that will, won't continue during the shutdown Full story

5. 4 things to know about the Medicare prior authorization pilot program Full story

 

6. Real-time payer-provider connections are reshaping transparency—see how they can reduce friction and improve collaboration. Read more.

7. Where ACA enhanced subsidies stand: 9 updates Full story

8. 3 payers ranked among best companies for AI adoption: Fortune Full story

9. AmeriHealth Caritas names interim president Full story

10. Pfizer to lower US drug prices; White House unveils 'TrumpRx' site — 5 updates Full story

11. 6 drugs in shortage Full story

 

12. Manual utilization management is over. See Providence's AI transformation steps here.

Becker's Learning Opportunities

13. GLP-1 results don't last without engagement. How these leaders keep patients on track: here.

14. Chart reviews under fire: What plans must fix to avoid penalties — explained here.

15. Prior auth reform, tax policy and more — Cigna shares the playbook for payers here.

16. Interested in more? See Becker’s full lineup of webinars and whitepapers.

 

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