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1. HHS appeals decision that struck down Medicare Advantage audit final rule Full story
2. Trump delays 2-year ACA subsidy extension proposal: Report Full story
3. 2027 isn't far off. Forecast your Medicaid risk under OBBBA — here.
4. UnitedHealth purchases $46M Nevada medical center Full story
5. The Hawaii Medical Service Association president's mission to master the basics Full story
6. Up to 90% of denials are preventable with upstream fixes. How hospitals are doing it — here.
7. Optum Rx to remove reauthorization requirements for 40 drugs Full story
8. HHS taps 5 leaders Full story
9. Chart reviews boost Medicare Advantage payments: 4 things to know Full story
10. 70% of Medicaid enrollees with opioid use disorder lack medications in 1st 6 months Full story
11. Refugee, asylum-seeker health insurance changes: 4 things to know Full story
12. Old workflows, new risk. How health plans are modernizing UM with AI here.
Becker's Learning Opportunities
13. This care model cut ED visits 12% for chronic inflammatory conditions. See how here.
14. 9% of contract value lost each year: See what's driving it + how to respond here.
15. 3-week waits signal risk. Use this 90-day automation framework to shorten access delays here.
16. Becker’s resources don’t stop here — explore more
webinars and
whitepapers.
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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