Ann & Robert H. Lurie Children’s Hospital of Chicago will not accept any ACA plans in 2026, according to the hospital’s website. “Lurie Children’s is currently not contracted and out of network with ...
Aetna is bundling pharmacy prescriptions and medical procedures into a single clinical review, according to a Dec. 4 news release. Providers previously had to submit two prior authorizations, but, as ...
The Trump administration introduced plans to lower obesity drug costs for Medicaid and Medicare, but commercial insurance coverage of GLP-1s remains a concern. “There is some speculation that this ...
More than half of ACA marketplace enrollees would be likely to pick up extra work if healthcare costs increase by $1,000 per year, a Dec. 4 KFF analysis found. With enhanced tax credits set to expire ...
Medicare Advantage insurer Zing Health has filed a new lawsuit against HHS and CMS, alleging the agencies failed to remedy harms caused by its improper termination from the MA program last year. The ...
In healthcare, success has always depended on collaboration, but never more so than today. As the industry continues its transition from fee-for-service to value-based care (VBC), it’s become clear ...
At the Fall 2025 Becker’s Payer Issues Roundtable, industry leaders explored how clinical intelligence and digital transformation are redefining the payer-provider relationship. The session, titled ...
Having a sense of purpose promotes health engagement, according to research published Dec. 4 by The Cigna Group. But fewer than one-third of adults have it. In collaboration with YouGov, Cigna’s ...
The U.S. Government Accountability Office found significant fraud risk in the ACA application process, according to a Dec. 3 agency report. Auditors applied for coverage under fictitious identities to ...
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