November 17, 2023

1. CMS pitches new regulations for state-run exchanges: 5 things to know Full story

2. 4 payers entering Medicare Advantage in 2024 Full story

3. 7 prior authorization updates Full story

4. Tufts and SSM Health are rapidly moving to value-based care. Hear the leading systems' strategies + crucial elements for success here.

5. 'Worse than people can imagine': 5 Medicaid redeterminations updates Full story

6. Payer mix in the largest for-profit health systems Full story

7. What 5 hospitals pay their Epic talent Full story

8. Health Care Service Corp. rebrands Trustmark Health Benefits Full story

9. New research from Brigham and Women's Hospital identifies the true reach of staff burnout. Learn more about the study — and what to do about it — here.

10. Can the 'Netflix' model of insurance work? Full story

11. 10 providers seeking payer contracting talent Full story

12. Learning Opportunity: We try to view payers as partners' — Discover how health systems are navigating strained payer relations and finding a better path forward 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: Your staff is spending too much time managing denials across multiple payer portals. Get that time back here.

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Becker's Hospital Review, A Becker's Healthcare Publication