States show dramatic ACA enrollment drop-offs: 5 notes
(By: Elizabeth Casolo for Becker’s Hospital Review) ACA sign-ups during the open enrollment period for 2026 were down 5% year
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Health Care Finance
Unusually high rates of prior authorization denials
The Department of Health and Human Services’ inspector general’s latest report found three specific Medicare Advantage plans had the highest
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Why AdventHealth thinks it can sell an internal insurance model to employers
(By: Jakob Emerson for Becker’s Hospital Review) As employers’ healthcare costs were climbing toward their steepest annual increase in more than a
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Medicare Part A trust fund depletion date
Medicare Part A hospitalization trust fund will be depleted in 2033, according to the 2026 Medicare Trustees’ report. However, the
Read MoreMedicare Advantage in 2026: Enrollment Update and Key Trends
(Authors: Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman for The Kaiser Family Foundation Published: Jun 5, 2026)
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Eli Lilly’s 340B deadline passes: What hospitals should know
(By: Ella Jeffries for Becker’s Hospital Review) Eli Lilly’s deadline for hospitals to submit claims data or lose 340B drug
Read MoreMedicare Advantage in 2026: Premiums, Out-of-Pocket Limits, Supplemental Benefits, and Prior Authorization
(Authors: Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman for The Kaiser Family Foundation Published: Jun 5, 2026)
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Massachusetts prior auth regulations take effect: 6 things to know
(By: Elizabeth Casolo for Becker’s Hospital Review) Prior authorization reforms in Massachusetts went into effect June 5. Democratic Gov. Maura
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Coding abuses and Medicare Advantage Payment
The U.S. Department of Health and Human Services Office of Inspector General’s new report found Medicare may have overpaid Medicare
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Crackdown on massive fraud in government programs
It has been estimated that taxpayers lost between $233 billion and $521 billion to fraudsters between 2018 and 2022, according
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