October 27, 2023

1. Former Medicare Advantage executive charged in multimillion-dollar fraud scheme Full story

2. Humana CMO: Why every employee is trained on health literacy  Full story

3. Most profitable BCBS companies in 1st half of 2023 Full story

4. Payers are stuck in the past with manual credentialing procedures. Hear how to eliminate friction + boost revenue here.

5. UHS countering 'increasingly aggressive' insurers, CEO stresses Full story

6. 4 recent Medicare Advantage overpayment cases Full story

7. Wife of Florida health system CEO arrested, charged with nurse battery Full story

8. 6 notes on Risant Health 6 months later Full story

9. Prisma Health + BCBS Vermont defied the odds and simplified risk adjustment. Their collaborative approach to better 2-way communication & quality, here.

10. How payers' ACOs fared in 2022 Full story

11. Highest-paying healthcare jobs in 75 US cities Full story

12. Learning Opportunity: Fraud cases have become all too common in healthcare. Learn how to boost fraud detection accuracy using AI here.

13. Learning Opportunity: Learn how to manage all payer claims from a single dashboard here.

14. Learning Opportunity: Payer eligibility requirements are always changing. Hear how to get real-time insights to reduce denials + cut costs here.

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