November 3, 2023

1. Payers ranked by Q3 revenue, profit Full story

2. CVS announces 2nd wave of layoffs Full story

3. CMS drops 4 final payment rules for 2024: 19 takeaways Full story

4. Learn how Group Health carriers are really using AI for underwriting + the benefits they are seeing. Join the discussion here

5. How Aetna snagged a multibillion-dollar state contract from BCBS North Carolina Full story

6. Kamala Harris spotlights AI's potential harm in health insurance Full story

7. Former Elevance subsidiary executive charged in multimillion-dollar Medicare Advantage fraud scheme Full story

8. UnitedHealthcare's total membership by state Full story

9. Risk adjustment is a two-way headache for payers + providers. Learn how Prisma Health and BCBS Vermont improved quality via collaboration — here.

10. Senators want to bust Medicare Advantage 'ghost' networks Full story

11. 2.3 million people will gain insurance if 10 states expand Medicaid Full story

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

13. Learning Opportunity: Risk adjustment is a two-way headache for payers + providers. Learn how Prisma Health and BCBS Vermont improved quality via collaboration — here.

14. Learning Opportunity: Learn how Group Health carriers are really using AI for underwriting + the benefits they are seeing. Join the discussion here.

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