Skip to main content

Name

Payer

Payer

payer-healthcare

The Winning Edge for Employer GLP-1 Cost Containment

Hospitals and health systems must strategically manage rising GLP-1 costs while balancing workforce health and long-term financial sustainability.

Why Democrats Are Casting the Gov't. Shutdown as a Healthcare Showdown

Democrats see the high-stakes standoff as a chance to talk about affordable health care as millions of Americans.

Workers' Wages Siphoned to Pay Medical Bills, Despite Consumer Protections

45 states allow wage garnishment for unpaid medical bills.

Shutdown Halts Some Health Services as Political Risks Test Parties' Resolve

Ramifications from a shutdown on public health systems and health programs will be felt far beyond Washington, D.C., halting almost...

Big Loopholes in Hospital Charity Care Programs Mean Patients Still Get Stuck With the Tab

Even if people qualify for financial help with their hospital bills, the care they receive may not be covered.

As Trump Punts on Medical Debt, Battle Over Patient Protections Moves to States

Recent setbacks in more conservative legislatures underscore the persistent challenges in strengthening patient protections.

Home Oxygen Users: Congress Moves to Fix a Broken System—Here’s How the SOAR Act Could Help You Breathe Easier

For nearly 1.5?million Americans who rely on supplemental oxygen, gaps in Medicare?s current payment rules can turn everyday life into...

AI Will Soon Have a Say in Approving or Denying Medicare Treatments

The pilot program, designed to weed out wasteful, 'low-value' services, expansion the federal use of prior authorization.

GA's Medicaid Work Requirement Program Spent Twice as Much on Administrative Costs as on Healthcare, GAO Says

Republican lawmakers cite Georgia's Pathways to Coverage as a national model for federal Medicaid work requirements that are set to...

BCBS MA offers buyouts to 750 amid deep financial losses

Blue Cross Blue Shield of Massachusetts is offering voluntary buyouts to roughly 750 employees as the health plan deals with...

Medicare paid for 200K unneeded back surgeries: Study

U.S. hospitals performed more than 200,000 unnecessary back surgeries on older adults that cost taxpayers $1.9 billion, according to a...

House speaker backs EMTALA as GOP targets immigrant medical treatment in shutdown fight

House Speaker Mike Johnson (R-LA) said Wednesday that Republicans don't want to change a law requiring hospitals to provide care...

Dems open to income cap on ACA subsidies

Some moderate Senate Democrats say they are open to placing an income cap on eligibility for Affordable Care Act tax...

GOP faces pressure on Dems' healthcare demands

Sen. Susan Collins is reportedly shopping around a potential off-ramp to the government shutdown that has paralyzed Washington, but the...

Payers are reducing Medicare Advantage options next year

Multiple health insurers are decreasing their Medicare Advantage options for next year as the health insurance industry navigates lower government...