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1. The states losing the most Medicare Advantage plans in 2027 Full story
2. UnitedHealthcare names new president Full story
3. Clinical experts to discuss how CMS WISeR Program could impact the greater UM & prior auth ecosystems. Learn more.
4. Elevance moves to require site-of-care details on hospital claims Full story
5. CMS projects 16% lower Medicare Advantage premiums in 2027 Full story
6. A physician-led cancer care model caught a misdiagnosis, avoiding $174,000 in unnecessary treatment. This webinar shows how. Register in one click.
7. Texas investigating BCBS over possible denials, delays Full story
8. UnitedHealthcare, TeamHealth settle $100M alleged upcoding case Full story
9. Federal bill would reinstate enhanced ACA subsidies, introduce public option Full story
10. Tennessee received $59M in Medicaid overpayments: OIG Full story
11. Clover adds former US senator, MedPAC commissioner to board Full story
12. CMS now audits every eligible MA contract. In this webinar, see how a more connected operation catches what risk adjustment teams miss. Register with one click.
Becker’s Learning Opportunities
13. Employee wellness programs promised lower health costs. Decades of research still says otherwise. Learn more here.
14. Health plans ask what AI can do. The sharper question is whether it should. Rethink product strategy in this webinar. Register with one click.
15. Webinar: What AI summarization changes about clinical review, and where the human still signs off. Register with one click.
16. Becker’s upcoming webinars: workforce planning, healthcare large language models and physician-led cancer care. 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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