Tracking Medicare news, policy, and coverage changes.
Friday’s decision is a victory for insurance advocates. But, given many of the rule’s provisions were codified in the GOP’s “Big Beautiful Bill,” it’s not a panacea for the ACA.
Read full article →Centene will offer buyouts to employees as it navigates a significant membership decline, a spokesperson confirmed to Fierce Healthcare.
Read full article →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 →A federal judge has vacated several key components of a controversial 2025 program integrity rule for the Affordable Care Act's marketplaces.
Read full article →Though 47% of respondents point the finger at corporate health insurers, respondents also selected the federal government (36%) and drug companies (34%) as primary drivers in rising costs.
Read full article →The Centers for Medicare and Medicaid Services (CMS) aims to play a bigger role in health tech modernization efforts, including leading interoperability initiatives.
Read full article →Yale New Haven Health System is deploying Rad AI solutions across its imaging network, spanning more than 16 outpatient imaging centers and five hospital campuses.
Read full article →At Gastro Health, executives report a 24% reduction in live agent handle time since implementing the solution.
Read full article →What rising expectations from health plans reveal about the next era of payment integrity leadership.
Read full article →InStride Health, a provider of specialty mental healthcare to children, teens and young adults, landed $30 million in series C funding to fuel its growth as it expands to new markets and broadens its network of payer partners.
Read full article →How RxSense helped a health system invest in its own PBM and take control of rising GLP-1 costs.
Read full article →Health and Human Services Secretary Robert F. Kennedy Jr. is demanding answers from a science journal on why a study regarding vaccination and sudden infant death was removed from the publication. In a letter dated June 11, Kennedy wrote to Toxicology Reports Editor-in-Chief Lawrence H. Lash concerning a 2021 study titled "Vaccines and sudden infant...
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