January 25, 2023
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1. Insurers that face the largest potential Medicare Advantage clawbacks Full story

2. Elevance Health posts $949M profit in Q4 Full story

3. Site-neutral payments central to BCBS Association’s $767B savings plan Full story

4. 62% of Americans don't trust their health plan to provide personalized care options. Here's how health plans can use data to unlock better care.

5. Boston Medical Center CEO to head up Massachusetts' HHS Full story

6. Blue Shield of California lays off 373 employees Full story

7. Optum in the headlines: 7 recent updates Full story

8. AI could save payers up to $110B in next 5 years: McKinsey Full story

9. Leaders from Cigna, UnitedHealth, Kaiser, BCBS + more tackle 2023's most pressing issues at Becker’s exclusive Payer Issues Roundtable. Join them April 3-4. Apply to be a live reviewer now.  

10. CEO, CFO resign from California hospital Full story

11. Payers spent about the same for telehealth and in-person visits in 2020 Full story

Becker's Learning Opportunities

1. Is the right RCM partner a needle in a haystack? This report helps you vet future partners - the right way.

2. The % of hospitals outsourcing help to process complex claims has doubled, and for good reason: more money (faster) + fewer headaches. Will you follow suit? Learn how this complex claim resolution program can put you ahead

3. Even small finance teams have big reporting challenges. Here's how the CFO of a small home healthcare provider found the right tool to achieve seamless financial operations.

How data + AI can identify at-risk CKD patients for earlier intervention

South Shore Hospital ED Prioritizes Med Rec for High-Risk Patients With Complexity Scores and Epic Workflow Enhancements

Staying one step ahead of fraud, waste and abuse

Companies to Know
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Becker's Hospital Review, A Becker's Healthcare Publication