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:...
Coverage Discovery: How it works and benefits healthcare organizations
Over the past two decades, U.S. hospitals have absorbed nearly $745 billion in uncompensated care, according to the American Hospital Association....
New CMS data suggest future ACA market turmoil
The Centers for Medicare & Medicaid Services (CMS) this week released new data fueling a narrative of rampant broker fraud...
What the 2025 budget bill means for hospital revenue and readiness
Key takeaways: Changes to Medicaid, Medicare and the Affordable Care Act provisions in H.R. 1 are expected to increase financial...
CMS warns states of new Medicaid waiver expectations
The Centers for Medicare & Medicaid Services (CMS) is shifting its policy on Section 1115 Medicaid waivers. In letters to...
Providers prepare contingency plans amid regulatory shifts
Hospitals, health systems and physician practices are shifting their operational and financial strategies in the face of rapidly changing federal...
Medicaid insurers cleared to text enrollees under Trump’s work requirements law
Tucked inside President Donald Trump’s controversial bill incorporating Medicaid work requirements during his administration is a provision that makes it...
House votes 218-214 to send reconciliation bill to Trump’s desk
The House has voted 218-214 to send Republican’s Senate-passed spending bill to President Donald Trump’s Desk, ensuring that the healthcare...