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Daily intelligence on medical billing, payer policy, and healthcare regulation.
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Sunday, September 20, 2026
4 stories
Private payers restructuring utilization management systems for CMS prior-auth rule deadlines
GlobeNewswire · 2026-09-19
AetnaAnthemBCBSCignaCMSHumanaUHC
Humana expands GLP-1 cost-control program with employers for 2027 benefit year
PlexusDx · 2026-09-19
Humana
Managed care journal calls for new copayment models for cell and gene therapies
The American Journal of Managed Care · 2026-09-20
AetnaAnthemCignaCMSHumanaUHC
Saturday, September 19, 2026
5 stories
HCA sues Independence Blue Cross, alleging out-of-state claim denials breach contract
STAT News · 2026-09-18
BCBS
OIG urges CMS to crack down on DME fraud in Medicare Advantage, citing improper payments
The HIPAA Journal · 2026-09-18
CMSHumanaUHC
2027 Medicare PFS proposed rule would upend third-party remote patient monitoring arrangements
JD Supra · 2026-09-18
CMS
Friday, September 18, 2026
4 stories
Federal watchdog accuses Humana, UHC Medicare Advantage plans of upcoding, triggering overpayment risk
Healthcare Dive · 2026-09-17
CMSHumanaUHC
Aetna to bundle prior authorizations for cancer treatment regimens
Modern Healthcare · 2026-09-17
Aetna
CMS opens public comment on DNV's hospital accreditation for Medicare participation
CMS · 2026-09-17
CMS
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