OIG report raises red flags about maternal health 'ghost networks' in Medicaid managed care
A pair of new reports from the Office of Inspector General raise concerns about "ghost networks" for maternal services in Medicaid.
Read full article →Drug Coverage
Latest Drug Coverage news from across the web.
Whoop, HealthEx partner to connect members’ medical records and biometric data
The companies say the partnership “responds to a growing need” for “more connected health experiences” for users.
Read full article →Why one life insurer is going big on health incentives
Life insurance may not be the first thing that comes to mind when thinking about healthcare. But some life insurers are increasingly interested in incentivizing healthy habits.
Read full article →Health services deal value holds steady in 2026 with higher bar for investment: PwC
The number of health services deals dipped in the first half of 2026 but deal value "remained resilient" as strategic acquirers and dealmakers "reprice risk," according to a midyear outlook report from PwC.
Read full article →MedPAC offers a look at enrollment hiccups for Medicare beneficiaries
Beneficiaries face a series of complex decisions in enrolling in Medicare coverage. A key federal panel outlines some of the pain points, alongside other policy recommendations and updates for Congress.
Read full article →CMS tightens oversight of accreditation facilities, limits fee-based consulting
A final rule updates performance reviews, codifies existing requirements and brings new conflict-of-interest protections for the nine organizations that regularly survey and accredit more than 9,000 providers participating in Medicare.
Read full article →US telehealth utilization climbs 10.1% in Q1, led by mental health visits: Fair Health
The top five diagnostic categories were mental health, acute respiratory diseases and infections, overweight and obesity, endocrine and metabolic disorders and joint and soft tissue diseases.
Read full article →Uncovr secures $7M in seed funding for AI surgical documentation platform
The company says it is currently working with leading hospitals across the U.S. and Europe, representing more than 400 operating rooms.
Read full article →RFK Jr. is popping up in battleground districts
The health secretary has visited four House districts with toss-up races in the last six weeks.
Read full article →Centene offering staff buyouts as is navigates murky ACA waters
Centene will offer buyouts to employees as it navigates a significant membership decline, a spokesperson confirmed to Fierce Healthcare.
Read full article →KFF: Insurer participation in the ACA marketplaces declined from 2025 to 2026
The number of insurers offering plans on the Affordable Care Act's marketplaces declined between 2025 and 2026, with more payers poised for an exit ahead of the 2027 plan year, according to a new analysis.
Read full article →Judge tosses multiple provisions of CMS' 2025 ACA program integrity rule
A federal judge has vacated several key components of a controversial 2025 program integrity rule for the Affordable Care Act's marketplaces.
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