Telehealth waivers expire Oct. 1 as shutdown inches closer
Medicare beneficiaries stand to lose access to two key virtual care programs that the federal government has offered since the...
Q&A: How AI innovation is transforming healthcare revenue cycle management
Healthcare organizations are facing a perfect storm: rising claim denials, evolving payer rules, and patients expecting providers to reduce error...
A Closer Look at the Growing Role of Special Needs Plans in Medicare Advantage
Enrollment in Medicare Advantage, the private plan alternative to traditional Medicare, has increased steadily over the past two decades, and...
Federal judge strikes down 2023 risk adjustment rule in win for Medicare Advantage plans
Medicare Advantage (MA) insurers scored a major court win this week when a federal judge struck down a Biden-era regulation...
Overview of President Trump’s Executive Actions Impacting LGBTQ+ Health
Initial Rescissions of Harmful Executive Orders and Actions, January 20, 2025 Purpose: Initial rescissions of Executive Orders and Actions issued...
Providers face $32B in lost 2026 revenue if ACA subsidies expire
Allowing Affordable Care Act enhanced premium tax credits to expire at the end of this year would slash $32.1 billion...
Deja Vu: the Future of Abortion Coverage in ACA Marketplace Plans
Abortion coverage was a key issue in the debate leading up to the passage of the Affordable Care Act. Again,...
From Detection to Recovery: Navigating Blood Cancer
Understanding Blood Cancer Blood cancer includes leukemia, lymphoma, and myeloma, each with distinct symptoms, risk factors, and treatment considerations. Early...
UnitedHealthcare unveils direct-to-consumer shopping tool
UnitedHealthcare is rolling out a new offering that aims to make it easier for employer plan members to shop for...
State of Claims 2025: The denial problem (and is AI the answer?)
Key takeaways: Experian Health’s State of Claims 2025 report is out now, detailing providers’ views on claims management and how...
