December 19, 2023

1. Hospitals to CMS: Add prior authorization appeal rates to MA star ratings Full story

2. CareFirst BCBS sues J&J over alleged anticompetitive biosimilar tactics Full story

3. Steward faces false claims suit Full story

4. More efficient underwriting is within reach — see how AI can help here.

5. FTC updates merger guidelines to 'reflect realities of the modern economy' Full story

6. Feds set No Surprises Act administration fee at $115 Full story

7. Blue Shield of California fined for mishandling provider claims Full story

8. Walgreens pulls VillageMD clinics out of Indiana Full story

9. In clinical care, being proactive beats being reactive. The same is true for RCM. Learn about the benefits of a proactive RCM strategy here.

10. Providence Health Plan makes 3 changes to C-suite Full story

11. Healthcare's most stressful jobs Full story

Becker's Learning Opportunity - Access In One Click

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

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

14. Learning Opportunity: 7 to 10 cents of every $1 spent on healthcare goes to fraudulent claims. Learn the latest strategies for boosting payment integrity here.

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