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Contributed Content: Beyond Coverage: How Clinical Strategy and Engagement Are Shaping the Future of Medicare Advantage
The next chapter of Medicare Advantage is being defined by the most forward-thinking plans?those aligning clinical strategy with member engagement...
CMS Signals MA Payment Slowdown as Provider Frustration With The Plans Continue to Mount
The proposal reinforces concerns that MA incentives remain misaligned with clinical reality.
Sick of Fighting Insurers, Hospitals Offer Their Own Medicare Advantage Plans
While the number of Advantage plans owned by hospital systems is relatively stable, Mass General Brigham in Boston and others...
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Farmers Now Owe a Lot More for Health Insurance
More than a quarter of the agricultural workforce purchases health insurance through the individual marketplace.
GOP Cuts Will Cripple Medicaid Enrollment, Warns CEO of Largest Public Health Plan
L.A. Care's Martha Santana-Chin is grappling with spending cuts that hinder providing healthcare to poor and medically vulnerable enrollees.
They Couldn't Access Mental Healthcare When They Needed It. Now They're Suing Their Insurer.
A new lawsuit alleges that an insurer's ghost network hindered New York City employees from accessing the mental health care...
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Ending Ghost Networks: The Urgent Need for Accurate Provider Directories
When consumers choose a health plan, they assume the provider directory reflects the care providers available to them.
Millions of Americans Are Expected to Drop Their Affordable Care Act Plans. They're Looking for a Plan B.
Marketplace plans from the ACA no longer feel very affordable to many people.
On the Hook for Uninsured Residents, Counties Now Wonder How They'll Pay
County health officials across the country are bracing for an estimated 10 million newly uninsured patients over the next decade...
The prior authorization trap: How paperwork kills patients and burns out docs
The U.S. healthcare system presents an economic paradox as excessive spending fails to produce superior health outcomes. The 'Prior Authorization...
Health insurers tumble after Trump administration proposes keeping Medicare Advantage rates flat next year
Shares of several big-name health care companies plunged Tuesday after the Trump administration proposed nearly flat rates for Medicare Advantage...
Will FTC settlement pause for Express Scripts reshape Cigna Group's PBM-driven investment narrative?
The FTC paused its administrative case against major pharmacy benefit managers, including Cigna's Express Scripts and Evernorth Health, staying proceedings...
House panel finds CVS Caremark may have broken antitrust laws
A House committee found that CVS Health may have violated federal antitrust laws by threatening independent pharmacies to keep them...
MT court clears path for BCBS data breach showdown
A Montana court has cleared the way for regulators to move ahead with a high-profile cybersecurity enforcement action against Blue...
House passes appropriations for healthcare, extends key provisions
The House this week voted 341-88 to pass a three-bill minibus for fiscal year 2026 that includes funding for key...
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