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1. Medicare Advantage insurers ranked by county entries, exits in 2027 Full story
2. UnitedHealthcare exits international insurance markets, points membership to Cigna Full story
3. Becker’s Fall Payer Issues Roundtable convenes 500+ payer executives, 85+ speakers, and a keynote from Emmitt Smith. Two days in Chicago, Nov. 2-3, that close out the year for payer strategy. Apply to attend as a reviewer here.
4. 15 payers with Medicare Advantage enrollment caps for 2027 Full story
5. Kaiser taps leader for national health plan Full story
6. Find out what a 1- to 2-point improvement in medical loss ratio means for health plan margins during this webinar. Register with one click.
7. UnitedHealthcare received $24M in Medicare Advantage overpayments in Texas: OIG Full story
8. BCBS Association names 3 new leaders Full story
9. 4 top PBMs now control 75% of market: 6 notes Full story
10. HCA-affiliated hospitals in Texas to go out of network with Cigna Full story
11. ACA subsidy lapse slows procedures at nearly 1 in 4 hospitals: Survey Full story
12. Webinar: What AI summarization changes about clinical review, and where the human still signs off. Register with one click.
Becker’s Learning Opportunities
13. CareSource Indiana cut readmissions among navigated behavioral health members. See the model behind it in this webinar. Register with one click.
14. Dispute volume, court rulings and a pending Final Rule are reshaping the No Surprises Act. See what’s next in this webinar. Register with one click.
15. Members with high social risk drive avoidable costs most plans never quantify. See how BCBS South Carolina did in this webinar. Register with one click.
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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