November 8, 2023

1. CMS proposes health equity mandates for Medicare Advantage prior authorizations Full story

2. Elevance settles noncompete case with former exec who left for Molina Full story

3. 'Flagrant disregard of the law': Nebraska revokes Bright Health's insurance license Full story

4. Better care + lower costs don't have to be competing priorities. Hear how RJWBarnabas, Erlanger and 2 other systems are tackling major industry issues without the trade-offs.

5. Why Dr. Sachin Jain is betting on population-specific Medicare Advantage plans Full story

6. Where Cigna sees opportunity in weight loss drugs Full story

7. Amazon launches One Medical for Prime Full story

8. Why Humana is sponsoring 4 pickleball organizations 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. The vanishing chief digital officer Full story

11. NCAA president, former Massachusetts governor, joins UnitedHealth Group board 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: Payer-provider relationships are strained. But some health systems are avoiding disputes with novel strategies — leaders candidly share them here.

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

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