1. Justice Department puts payer consolidation on notice Full story
2. BCBS companies ranked by medical loss ratios in first half of 2023 Full story
3. OIG: Humana subsidiary received estimated $117M in overpayments Full story
4. Risk adjustment is a two-way headache for payers + providers. Learn how Prisma Health and BCBS Vermont improved quality via collaboration — here.
5. Private payer's prices highest in upper Midwest and Southeast, price transparency study finds Full story
6. North Carolina treasurer urges state to drop weight loss drug coverage for employees Full story
7. Florida woman sentenced to 8 years in prison for $36M scheme to defraud BCBS Full story
8. HHS pitches provider information blocking 'disincentives' Full story
9. Mayo Clinic uses AI to ensure it's being fully reimbursed. Find out how.
10. Cambia appoints former Optum exec to lead government business Full story
11. The best hospital by state, per Newsweek Full story
12. Learning Opportunity: Payer eligibility requirements are always changing. Hear how to get real-time insights to reduce denials + cut costs here.
13. Learning Opportunity: Learn how to manage all payer claims from a single dashboard here.
14. Learning Opportunity: Billing problems can be avoided with the right data. See how a collections agency increased collections by 10% here.
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