December 18, 2023

1. Reports: Elevance, HCSC competing for Cigna's Medicare Advantage business Full story

2. Kraft Heinz drops claims data lawsuit against Aetna Full story

3. Molina cuts purchase price for Bright Health's Medicare Advantage business Full story

4. More efficient underwriting is within reach — see how AI can help here.

5. Mark Cuban Cost Plus Drugs teams up with PBM company Full story

6. Centene spent $281M to settle state overbilling allegations in 2023 Full story

7. 3 Inflation Reduction Act Medicare changes taking effect in 2024 Full story

8. Some employers scrap year-end bonuses Full story

9. Payers can't afford to be reactive when it comes to payment integrity. Learn how to boost claims accuracy, refine audits + more here.

10. 21 Elevance Medicaid plans recognized for advanced health equity efforts Full story

11. 10 providers seeking payer contracting talent 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: Every health system needs a Medicare reimbursement star. Here's how to become one.

14. Learning Opportunity: Reimbursements can increase — and coding pains decrease — with the right data and a 'holistic' documentation approach. See experts' best practices here.

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