February 21, 2023
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1. The major changes payers face from CMS' proposed prior authorization reform Full story

2. The insurance side of the ongoing Ozempic shortage Full story

3. Mark Cuban's low-cost pharmacy to partner with independent pharmacists 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. Five unanswered questions about CMS' new Medicare Advantage audit rule Full story

6. 'What is the best hospital in the US?' ChatGPT's response Full story

7. Essence Healthcare's CMO on the secret to building a 5-star Medicare Advantage plan Full story

8. BCBS Massachusetts to maintain telehealth coverage Full story

9. Revenue for home-based care increased 50% in the last decade — here's how Geisinger Health Plan is seizing this trend + achieving near-perfect patient satisfaction scores with 3.5x ROI.

10. 6 recent legal actions involving payers Full story

11. Elevance Health in the headlines: 8 recent developments Full story

Becker's Learning Opportunities

1. Just 1 in 10 CKD patients get proper care. Learn how data + AI are changing the kidney care paradigm from costly, urgent treatment to preventative and cost-effective care.

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

Click here to read more Payer content.


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