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1. Elevance to cut 216 jobs in Louisiana amid Medicaid exit Full story
2. The healthcare workers opting out of health insurance: KFF Full story
3. Improve Medicare Advantage Stars – discover eight steps to unify data, uncover opportunities sooner, improve measures in real-time, and deliver targeted member interventions. Download now.
4. The best-rated Medicaid plans of 2026: NCQA Full story
5. Molina’s California president leaves role Full story
6. Turning raw utilization data into decisions employers act on takes more than a dashboard — it takes the right data architecture. See how Highmark did it, in this webinar.
7. Elevance hit with another lawsuit over out-of-network penalty policy Full story
8. HCA CFO on claims AI: ‘We’re behind the payers’ Full story
9. WakeMed reaches deal for UnitedHealthcare commercial members after nearly 1 year of negotiations Full story
10. Every state to join CMS Medicaid drug pricing model: 4 notes Full story
11. Trump vows ‘AI Force,’ AI czar as health systems eye policy shift Full story
12. Coordination alone won’t fix cancer costs. Evry Health’s CMO on what will here.
Becker’s Learning Opportunities
13. Employee wellness programs promised lower health costs. Decades of research still says otherwise. Learn more here.
14. Providers are wary of prior auth tools that create parallel workflows. See what they want instead here.
15. Telligen is rebuilding medical necessity review with AI and clinical oversight here.
16. Becker’s upcoming webinars: between-visit oncology care, revenue cycle scaling and consumer AI. 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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