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Becker s Payer Issues | Payer News

Durham, N.C.-based Duke Health will stay in network with CVS Health s Aetna, according to an Oct. 3 statement on the
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Leadership Archives - Becker s Payer Issues | Payer News

At Becker’s Fall Payer Issues Roundtable in early November, payer and provider executives discussed the shifting realities facing health plans, from regulatory pressure and AI adoption to member experience and cultural i
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Payer Archives - Becker s Payer Issues | Payer News

A shareholder of UnitedHealth Group has put forward a proposal calling for the appointment of an independent chairperson for the company s board that is separate from the CEO position, Bloomberg reported Oct. 3. Earlier
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How to Navigate Big Claims and Payer Complexities in 2025 | MBC

Learn about the rising challenges in big claims and payer complexities. Find out how to secure reimbursements effectively.
https://www.medicalbillersandcoders.com/blog/how-to-navigate-big-claims-and-payer-complexities-in-2025/ - Details - Similar

Healthcare Payer Solutions Services | CitiusTech

Transform healthcare with advanced payer solutions that leverage AI, cloud, interoperability analytics to improve care quality, cost and compliance.
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Healthcare Payer Interoperability Solution | CitiusTech

Implement a scalable payer interoperability solution to meet CMS rules, enable FHIR adoption, automate data exchange, and improve outcomes across health ecosystems.
https://www.citiustech.com/market/payers/interoperability - Details - Similar

Healthcare Payer Digital Modernization Services | CitiusTech

Modernize legacy payer systems with cloud, FHIR, and AI. Improve scalability, compliance, and member engagement with digital transformation services.
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Payer Issues Archives - Becker s Payer Issues | Payer News

September 30, 2025 1. Where ACA enhanced subsidies stand: 7 updates Full story 2. 30 health systems dropping Medicare Advantage plans Full story 3. CMS ramping up audits in MA and Medicaid. Is your plan ready? Find out h
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Payer Contracting Archives - Becker s Payer Issues | Payer News

The Office of the New York City Comptroller approved the NYC Employees PPO plan, according to a Nov. 14 news release. Under the new health plan, EmblemHealth and UnitedHealthcare will take over the contract from GHI Comp
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Payer Policy Updates Archives - Becker s Payer Issues | Payer News

The Wasteful and Inappropriate Service Reduction initiative from CMS will take effect next year, adding prior authorization requirements to traditional Medicare. Providers in Arizona, Washington, New Jersey, Texas, Ohio
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