November 15, 2023

1. UnitedHealth faces lawsuit over AI, Medicare Advantage care denials Full story

2. 5 states considering adding weight loss drug coverage under Medicaid Full story

3. Froedtert purchases Ascension's stake in health plan Full story

4. Big changes are coming to nursing. See how Intermountain + Duke Health are transforming the front lines of care with tech — here.

5. Cigna follows Mark Cuban's lead on drug pricing Full story

6. Medicare Advantage in the headlines: 10 recent updates Full story

7. UCLA Health sues Barbie-maker over $49M donation pledge Full story

8. How Allina Health | Aetna avoids negotiation 'quibbles' Full story

9. Employees and patients both suffer when workplace culture falls short. Hear how focusing on employee well-being can transform your patient care here.

10. Significant role for AI 'unlikely to emerge immediately' for payers: Moody's Full story

11. BCBS Association: ACA risk adjustment is working Full story

12. Learning Opportunity: Payer-provider relationships are strained. But some health systems are avoiding disputes with novel strategies — leaders candidly share them here.

13. Learning Opportunity: Achieving adequate reimbursement doesn't have to be so hard. Learn how this agency increased collections by 10% here.

14. Learning Opportunity: Healthcare is facing a credentialing reckoning. Hear how payers can get ahead with the latest tools to boost efficiency + revenue here.

 

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