December 27, 2022
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1. 8 prior authorizations updates in 2022  Full story

2. 'We've got to serve our community': Why Springfield Clinic launched its own health plan  Full story 

3. Lawsuit alleges former Centene execs defrauded state Medicaid programs  Full story 

4. Rising diabetes, hypertension and obesity rates — alongside unaddressed SDOH — have created a perfect storm for health plans. Increase rural members' access to care and help them sustain health improvements with this virtual tool.

5. Humana, TriWest tapped for $136B Tricare managed care contracts  Full story

6. Federal judge rules against BCBS Illinois over denied gender-affirming care coverage  Full story

7. 52% of Americans think COVID-19 PHE still needed  Full story

8. 37 hospitals with the most ED visits  Full story

9. Healthcare fraud costs the U.S. billions annually. Protect your bottom line by learning how AI can prevent fraudulent healthcare claims here.

10. 'Our approach has yielded meaningful change': Outgoing BCBS Massachusetts CEO reflects on tenure  Full story

11. States ranked by rate of uninsured women  Full story 

Becker's Learning Opportunities

1. Providers lose millions on self-pay patients who actually have insurance. Discover 4 hidden ways to detect insurance coverage for self-pay patients. 

2. The Medicare Trust Fund is scheduled to deplete in 2026 and hospitals are already facing skyrocketing debt. Here's the tool your organization needs to prepare for the coming industry shifts. 

3. Revenue cycle staffing is in crisis. Don't ask employees to work harder — allow them to work smarter with intelligent automation. Here's how.

Purpose and resilience: How to lead authentically and cultivate high performing teams

Three ways to improve the front-end of patient access that will drive top-line revenue

It's time to help your healthcare workforce get healthy

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