January 31, 2023
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1. In blow to payers, CMS implements tougher Medicare Advantage audit rule Full story

2. Biden administration to end COVID-19 public health emergency in May Full story

3. CMS creating special ACA enrollment period for those losing Medicaid coverage Full story

4. 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.

5. Regence BCBS Oregon president tapped to lead Kaiser's Washington region Full story

6. The health plan members are most satisfied with in each US region Full story

7. 'Operation Nightingale': Feds charge 25 in sweeping nurse diploma scheme Full story

8. Geisinger Health Plan fined for wrongly rejected claims Full story

9. Payers are struggling to keep up with changing member expectations. Get ahead of the curve and stay there with conversational AI and these best practices. 

10. Blue Shield of California launching virtual-first health plan Full story

11. Elevance Health in the headlines: 7 recent updates Full story

Becker's Learning Opportunities

1. 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.

2. 5 top healthcare payment challenges for 2023 and how to get ahead of them — see the report here.

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

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

How AI can supercharge staffing and capacity management for hospitals

Transform Revenue Cycle Performance with Front-End Automation

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