Today's newsletter tracks how AI is reshaping payer operations, with UnitedHealth leaning on automation to drive growth while Aetna embeds generative AI throughout its member experience. These investments come as the industry continues to face financial pressures, from BCBS Massachusetts' projected year-end losses to UCare's plan to wind down operations next year. You'll also find the latest on Humana's data-sharing partnership with Epic, a Medicaid contract award in Florida, and New York City's employee health plan.
1. UCare to wind down operations, sell assets to Medica Full story
2. 'At our core, we're a data company': UnitedHealth leans on AI to drive growth Full story
3. Health plans + providers can align to close care gaps. See how — report here.
4. 2 convicted in $233M ACA subsidy fraud scheme Full story
5. New York City comptroller OKs employee plan with UnitedHealthcare, EmblemHealth Full story
6. A new model for MA success: SCAN shares how it cuts avoidable utilization, here.
7. Aetna launches generative AI-powered member navigation tool Full story
8. BCBS Massachusetts expects to end year with operating, net losses Full story
9. Epic, Humana partner on data-sharing Full story
10. Florida awards Molina special Medicaid contract Full story
11. 23 hospital closures in 2025 Full story
12. Reducing provider abrasion with AI: See how top plans are doing it here.
Becker's Learning Opportunities
13. 57,000 physicians now work locums. Find out what that means for staffing in 2026 here.
14. 9% of contract value lost each year: See what's driving it + how to respond here.
15. 1 in 4 autism care specialists report 'unmanageable' stress. See what's driving it here.
16. Becker’s resources don’t stop here — explore more
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