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1. How AI is turning UnitedHealth, CVS and Elevance into software companies Full story
2. White House freezes $1.3B in Medicaid payments to California Full story
3. 43% fewer ED visits. How payers can reduce avoidable utilization earlier here.
4. CMS taps 29 healthcare organizations for prior authorization initiative Full story
5. OhioHealth says DOJ lacks evidence it blocked lower-cost health plans Full story
6. Consumer expectations are redefining access. See what it means for health plans here.
7. Centene executive to join Froedtert ThedaCare as chief nurse Full story
8. Iowa governor signs law to reform prior authorization, out-of-network penalties Full story
9. Former Cigna executive named to AMN Healthcare board Full story
10. UnitedHealthcare employer-sponsored commercial members lose Lehigh Valley Health Network access Full story
11. Clever Care Health Plan names population health management exec Full story
12. Health plans are streamlining claim triage and investigation with AI. See how here.
Becker's Learning Opportunities
13. Poor transportation data can raise payer risk. Learn how 3 organizations are improving coordination here.
14. CMS-0057-F is accelerating change. How payers can build interoperable prior authorization workflows now here.
15. Why prior authorization breaks down — and what real-time AI is doing about it here.
16. Becker’s resources don’t stop here — explore more
webinars
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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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