4 recommendations to bring oversight to AI-driven prior auth: MACPAC
(By: Elizabeth Casolo for Becker’s Hospital Review) The Medicaid and CHIP Payment and Access Commission approved recommendations to boost transparency with
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Healthcare Finance
In California Governor Race, Single-Payer Is a Litmus Test. There’s Still No Way To Pay for It.
(By Christine Mai-Duc for KFF Health News) When Gavin Newsom ran for California governor in 2018, his support for a
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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
Read MoreThat 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
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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
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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.
Read MoreAmericans’ 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,
Read MoreMedicaid Eligibility Levels for Older Adults and People with Disabilities (Non-MAGI) in 2026
(Authors: Alice Burns, Abby Sachar, and Molly O’Malley Watts for The Kaiser Family Foundation Published: Apr 30, 2026) In 2026,
Read MoreCMS may have improperly paid $2.26M for virtual services: Audit
(By: Elizabeth Casolo for Becker’s Hospital Review) HHS’ Office of Inspector General found CMS may have improperly paid more than
Read MoreBig Companies Position Themselves for Payday From $50B Federal Rural Health Fund
(By Sarah Jane Tribble for KFF Health News) Tory Starr is worried about the people who get medical care at
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