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1. Centene executive exits pile up in 2026 Full story
2. Hospitals say they’re losing the AI billing war. A new BCBS study suggests otherwise Full story
3. GLP-1s are reshaping pharmacy economics for every health plan, ICHRA is changing the employer-sponsored market, and direct contracting is shifting the network model. All three are on the agenda Nov. 2-3 in Chicago. Apply to attend Becker’s Fall Payer Issues Roundtable as a reviewer here.
4. Penn Medicine, Independence Blue Cross plan 18+ surgery centers Full story
5. Oscar employees in Florida to transition to CHOICE arrangements Full story
6. 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.
7. UnitedHealth home health arm hit by phone phishing breach Full story
8. Highmark’s next AI frontier: Capturing members’ ‘hidden context’ Full story
9. Priority Health to launch TPA offering for Michigan employers Full story
10. TrumpRx prices compared with other countries: KFF Full story
11. States ranked by average annual family premium Full story
12. Health plans ask what AI can do. The sharper question is whether it should. Rethink product strategy in this webinar. Register with one click.
Becker’s Learning Opportunities
13. Underwriters who know what AI cannot do are getting more valuable. Read why here.
14. U.S. healthcare loses $265B a year to admin waste — much of it manual. See which workflows to automate first here.
15. PT-adherent Medicare Advantage members had 27% fewer ASC procedures over 6 months. Find the study here.
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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