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1. Texas investigating UnitedHealth over care denial concerns Full story
2. ‘This is an agent doing this’: Health insurers deploy AI to make your next medical appointment Full story
3. Choosing a clinical data repository? Use this must-have checklist to evaluate ingestion, transformation, activation, and scale.
4. 2 in 3 US adults support Medicare for All: KFF Full story
5. UnitedHealthcare to exit Georgia’s ACA marketplace in 2027 Full story
6. Claims processing and care coordination weren’t built for autonomous AI. See the fix, here.
7. HCSC halved its Medicare Advantage footprint but says it’s still playing the long game Full story
8. Cigna targets ‘inefficient’ spending with clinical support model rollout Full story
9. Medicare Advantage prescription drug plan options decline for 3rd year in a row: KFF Full story
10. Will payers claw back hospitals’ AI savings? Full story
11. CMS flags payment delays, rising costs in No Surprises Act arbitration Full story
12. The fax queue can’t carry clinical review much longer. See the workflow that replaces the document hunt in this webinar.
Becker’s Learning Opportunities
13. CareSource Indiana reached 90th-percentile follow-up performance for behavioral health members. Hear how in this webinar.
14. Risk adjustment without the annual scramble: See why perspectives from informatics and actuarial teams help — in this webinar.
15. The No Surprises Act Final Rule could reset key requirements for health plans. A surprise billing expert explains in this webinar.
16. Becker’s upcoming webinars: prostate cancer imaging, procurement in an AI era and hospital capacity. 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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