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More insurers sue CMS over Medicare Advantage stars
Unauthorized ACA enrollment, plan change complaints up fourfold since 2023: GAO
2026 Medical Loss Ratio Rebates
Dangerous heat: Help protect Veterans experiencing homelessness
The term ‘payvider’ isn’t very useful

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Health Care Finance

Eileen Cook May 7, 2026May 7, 2026 Healthcare Costs, Healthcare Finance, Prior Authorization

What’s the latest on prior authorization reform?

(By: Jakob Emerson for Becker’s Hospital Review) For years, prior authorization has remained among the most contentious pressure points between

CMS Health Care Finance Legal Actions/Court Decisions Medicare Advantage Part D/Prescription Drugs

Eileen Cook May 7, 2026May 7, 2026 CMS, CMS Fines, Medicare Advantage, Medicare Part D, Older Adults

CMS issues another round of Medicare Advantage fines to 13 health plans

(By: Jakob Emerson for Becker’s Hospital Review) CMS has fined 13 health plans a combined $1.5 million for Medicare Advantage

CMS Health Care Finance Health Insurance Medicaid Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook May 7, 2026May 7, 2026 Healthcare Costs, Healthcare Finance, Medicaid, medicare, Medicare Advantage, Medicare Part D

That Discount at the Pharmacy Counter May Pack Hidden Costs

(By Rachel Spears for KFF Health News) Next time you go to the pharmacy, you might be offered a coupon

Health Care Finance Health Care Redesign

Eileen Cook May 6, 2026May 6, 2026 Healthcare Costs, Healthcare Finance, Hospital at Home, Older Adults

Hospital at home linked to better outcomes: 7 notes

(By: Giles Bruce for Becker’s Hospital Review) Patients treated at a hospital-at-home program had lower rates of mortality and emergency

CMS Health Care Finance Medicare - General Part D/Prescription Drugs

Eileen Cook May 6, 2026May 6, 2026 CMS, GLP-1 drugs, Healthcare Costs, medicare, Medicare Part D, Older Adults

A New Medicare Option for Weight Loss Drugs: What Older Americans Should Know

(By Jackie Fortiér for KFF Health News) Starting in July, Medicare beneficiaries may be able to get a GLP-1 prescription

Cybersecurity Health Care Finance

Eileen Cook May 5, 2026May 5, 2026 AHA, Cybersecurity, Joint Commission

Joint Commission, AHA create cyber resilience program

(By: Mariah Taylor for Becker’s Hospital Review) The Joint Commission and the American Hospital Association created a first-of-its-kind program designed

CMS Direct Primary/Concierge Care Health Care Finance Health Insurance

Eileen Cook May 5, 2026May 5, 2026 CMS, Direct-to-consumer, Health Insurers, Healthcare Costs, Healthcare Finance

Health insurers’ ‘direct-to-consumer’ push: 5 notes

(By: Elizabeth Casolo for Becker’s Hospital Review) Healthcare more broadly has been focused on reaching consumers where they are at.

CMS Health Care Finance HHS Medicaid Medicare - General Medicare Advantage

Eileen Cook May 4, 2026May 4, 2026 CMS, Medicaid, medicare, Medicare Advantage, Older Adults

Changes to the Medicare Advantage Program Enhance Some Consumer Protections But Roll Back Others

(Authors: Meredith Freed, Alex Cottrill, Jeannie Fuglesten Biniek, and Tricia Neuman for The Kaiser Family Foundation Published: May 1, 2026)

Health Care Finance Health Insurance Medical Debt Part D/Prescription Drugs

Eileen Cook May 1, 2026May 1, 2026 Healthcare Costs, Healthcare Finance, Medical debt, Medicare Part D

Americans’ Challenges with Health Care Costs

(Authors: Grace Sparks, Lunna Lopes, Alex Montero, Marley Presiado, and Liz Hamel for The Kaiser Family Foundation Published: Apr 30,

Health Care Finance Health Care Redesign Medicaid

Eileen Cook May 1, 2026May 1, 2026 HR 1, Medicaid, Medicaid Work Requirement

1st state enacts Medicaid work rules under HR 1: What healthcare leaders need to know

By: Elizabeth Casolo for Becker’s Hospital Review) On May 1, Nebraska becomes the first state to launch Medicaid work requirements

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