1. Federal lawmakers concerned AI gives payers 'new ways to deny care' Full story
2. 13 payer leaders' best practices for Medicaid redeterminations Full story
3. CMS to pilot value-based primary care model in 8 states Full story
4. Compliance penalties cut into the bottom line. Listen here to decrease your risk + remain CMS compliant amid policy changes.
5. UnitedHealthcare, Cigna halt policies after pushback Full story
6. Anthem BCBS accuses Bon Secours Mercy of leveraging Medicare, Medicaid care to boost commercial payments Full story
7. Tenet, HCA, Optum compete for market share in emerging battleground Full story
8. Medicare spending per beneficiary, year by year Full story
9. It's been a tumultuous year for rankings. US News wants to stick with hospitals. Will hospitals stick with US News? Read more via MyBHC.
10. Cityblock Health cuts 12% of staff Full story
11. 8 recent payer lawsuits, settlements Full story
Becker's Learning Opportunities - Access in One Click
1. SDOH regulations are ramping up — simply collecting & sharing data won't cut it. This report tells you what it takes to see meaningful progress at scale.
2. Only 2.7% of US adults live a healthy lifestyle — & that costs health plans $500B a year. This approach supports better outcomes + employer savings.
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