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Payer

Courts sided with SCAN Health Plan in a star ratings lawsuit that could have implications for other plans, and a Blue Cross Blue Shield company is pulling out of the Medicare Advantage business. 

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Artificial intelligence has the potential to lower internal and member costs for insurers while also increasing profits, but the industry has largely not embraced these opportunities, according to a June 5 analysis from McKinsey.

California improperly used $52.7 million in federal Medicaid funds to pay for nonemergency care for Medicaid recipients without legal status, according to an audit from HHS' Office of Inspector General. 

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