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1. Tariff threats contribute to rising premiums: 3 things to know Full story
2. Why an architect of Medicare Advantage says the 'system is being abused' Full story
3. $57.7B lost to avoidable readmits. How LTACHs are cutting risk & costs for payers — here.
4. Judge OKs class-action lawsuit against BCBS Montana over 'large dollar' claims denials Full story
5. Walmart launches wellness program for Medicare Advantage, Medicaid members Full story
6. Confused members cost you. Get smarter AI-driven care navigation strategies: here.
7. Maryland system alleges Medicaid managed care group's 'inexplicable' denials leave system owed $15M Full story
8. More payers seek double-digit exchange rate hikes for 2026 Full story
9. UnitedHealthcare Medicare Advantage, Brown U Health to split Full story
10. Epic shares digital health wishlist with CMS' Dr. Oz Full story
11. Amazon, Hackensack Meridian Health plan 20-plus clinics Full story
12. CMS-0057, UM and interoperability — Find out what health plans must do to prepare, here.
Becker's Learning Opportunities
13. Chronic wounds are costly. New data could reshape treatment & coverage policies — details here.
14. The 360-degree member view that changed everything. Inside Priority Health's operational transformation here.
15. How 4 health plans are leading care management's AI shift: here.
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