October 26, 2023

1. Payer-provider contract fights increasingly enter the spotlight Full story

2. Judge upholds BCBS companies' antitrust settlement Full story

3. Medicare Advantage in the headlines: 15 recent updates Full story

4. Prisma Health + BCBS Vermont defied the odds and simplified risk adjustment. Their collaborative approach to better 2-way communication & quality, here.

5. Feds to appeal another No Surprises Act ruling Full story

6. Centene sees 75% marketplace enrollment growth Full story

7. Apple Pay, Venmo: How patients prefer to settle the bill Full story

8. High-deductible health plan growth stalls Full story

9. Payers are stuck in the past with manual credentialing procedures. Hear how to eliminate friction + boost revenue here.

10. Express Scripts conspires to overcharge pharmacies, suit alleges Full story

11. Georgia's Medicaid work requirement program slow to gain participants Full story

12. Learning Opportunity: Prisma Health + BCBS Vermont defied the odds and simplified risk adjustment. Their collaborative approach to better 2-way communication & quality, here.

13. Learning Opportunity: Fraud cases have become all too common in healthcare. Learn how to boost fraud detection accuracy using AI here.

14. Learning Opportunity: The status quo for fax processing is weighing healthcare organizations down. Learn how AI can boost speed, accuracy and cost savings here.

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