April 15, 2025

1. DOJ's UnitedHealth-Amedisys antitrust case moves to mediation Full story

2. Around 1 in 4 small businesses are dropping insurance coverage: 5 notes Full story

3. Medicare Advantage rate boost likely to 'significantly support' payers' financial recovery: Fitch Full story

4. Payer executives are increasingly focusing on claims management to cut costs. Prepayment review offers a proactive approach compared to traditional post-payment methods, allowing payers to identify and address potential issues before claims are processed.

5. States ranked by potential coverage losses under Medicaid work requirements Full story

 

6. 11 states pushing for Medicaid work requirements Full story

7. CMS weighs dropping some quality measures: What to know Full story

8. FTC probes antitrust regulations after Trump's executive order: 7 things to know Full story

9. AI is helping payers win more business. Find out how, here.

10. CMS to states: Do not cover gender-affirming care for children Full story

11. Best business schools for MBAs: US News Full story

 

12. Regulators are cracking down on tracking tech. How payers can stay compliant: here.

Becker's Learning Opportunities

13. Care gaps raise red flags. How Hunt Regional improved documentation here.

14. Most plans value personalization. Just 34% deliver it. See what's missing: here.

15. Leading health plans are working to reimagine cancer care. Learn how (and why) here.

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