CMS launching payment model to boost access to GLP-1s
The Trump administration has unveiled yet another new payment model, this one focused on the cost of GLP-1 therapies. The...
5 revenue cycle management predictions for 2026
At A Glance Revenue cycle management (RCM) teams are facing a year of major change, with new regulations, tighter margins...
How can hospitals adapt to evolving Medicaid and coverage rules?
At A Glance Hospitals that treat Medicaid patients should update their eligibility and billing systems now to prepare for the...
Pyx Health rolls out AI-powered navigator for health benefits
Social health platform Pyx Health rolled out an AI-powered navigator to help guide members to resources and essential benefits in...
Infographic: One Big Beautiful Bill Act (OBBBA) readiness
As the healthcare industry prepares for the implementation of the One Big Beautiful Bill Act (OBBBA), it’s clear that readiness...
How propensity-to-pay models help healthcare providers improve collections
Key takeaways: Healthcare organizations are facing growing levels of bad debt and a sharp decline in collections. Propensity-to-pay models that...
How Medicaid work requirements will dent hospital margins
A new Commonwealth Fund analysis estimates U.S. hospitals’ annual operating margins will drop by 12.5% to 14.2% in 2027 should...
Elevance stock dips with plans to exit standalone Part D, some Medicare Advantage markets
Elevance Health’s shares took a dip on Thursday as the company reaffirmed its outlook for 2025 and revealed plans to...
CVS agrees to $12M settlement with Massachusetts AG
CVS has agreed to a $12.25 million settlement with Massachusetts that resolves allegations that it charged members of its Medicaid...
Unite Us CEO Dan Brillman top contender for Medicaid director
Speculation has been swirling about who might take the top Medicaid job in the Trump administration. Among the top contenders:...
