Forthcoming Policy Changes to Medicaid State Directed Payments
(Authors: Alice Burns, Elizabeth Hinton, Scott Hulver, Jessica Mathers, and Robin Rudowitz for The Kasier Family Foundation Published: Jun 15,
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Healthcare Finance
6 recent Medicare Advantage fraud settlements
(By: Jakob Emerson for Becker’s Hospital Review) Federal enforcement around Medicare Advantage risk adjustment and billing has ramped up over
Read MoreBacked by Threat of Clawbacks, Feds Wield Tight Grip on $50B Rural Health Fund
(By Sarah Jane Tribble and Arielle Zionts for KFF Health News) In Maine, state health officials hoped to steer a
Read MorePrimary care doctors raise alarm as telehealth companies get involved in obesity drugs
(By Sydney Lupkin for NPR) Every time David Davis talks to a nurse at Vida Health, he thinks he’ll finally
Read MoreHow Medicare Advantage Rebates Disadvantage Medicare’s Stand-Alone Drug Plan Market
(Authors: Juliette Cubanski, Jeannie Fuglesten Biniek, Meredith Freed, and Tricia Neuman for The Kaiser Family Foundation Published: Jun 11, 2026)
Read MoreMedicare Part D Enrollment, Premiums, and Cost Sharing in 2026
(Authors: Juliette Cubanski and Anthony Damico for The Kaiser Family Foundation Published: Jun 11, 2026) The Medicare Part D program
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What to know about MultiPlan’s litigation saga
(By: Elizabeth Casolo for Becker’s Hospital Review) MultiPlan, now rebranded as Claritev, has been at the center of multiple sprawling
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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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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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