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1. ‘We’re in wartime’: As major insurers continue pulling back on Medicare Advantage, SCAN places another contrarian bet Full story
2. EmblemHealth issues cease-and-desist to Mount Sinai over new patient policy Full story
3. CMS finalized CJR-X on July 31. Mandatory, nationwide, no opt-out. Becker’s Value-Based Care Report tracks what hospitals are doing with the runway to 2028. Tuesdays, 9 a.m. Subscribe here.
4. Aetna to cut Medicare Advantage broker commissions Full story
5. Employer healthcare costs to top $19K per worker in 2027: 5 things to know Full story
6. Payment integrity leaders no longer have to trade audit quality for scale. See why here.
7. Oregon budgets $15M for ACA stabilization, eyes enrollment caps in 2027 Full story
8. Ex-telehealth company owner gets 2 years in $110M Medicare fraud scheme Full story
9. Cityblock Health acquires rural Medicare provider Homeward Health Full story
10. AmeriHealth Caritas backs Michigan I/DD managed care startup Full story
11. Average HSA balances soar to record high in 2024 Full story
12. Reduce unnecessary utilization and prove program impact: how Highmark equips national accounts here
Becker’s Learning Opportunities
13. Evry Health rebuilt cancer care around oncologists and saw a 3.4:1 return here.
14. About 10 new genetic tests hit the U.S. market every day. See how plans are keeping up here.
15. Is your infrastructure built for autonomous AI agents, or just data exchange? Find out 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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