New & Notable
After ACA subsidy lapse, consumers opt for low-cost Marketplace plans
The number of patients selecting low-cost, high-deductible ACA marketplace plans rose from 30% to 40% for the 2026 Open Enrollment Period.
UnitedHealthcare launches AI chatbot for member care navigation
UnitedHealthcare said the AI chatbot will support customer advocates by handling simple care navigation tasks and referring members to advocates when needed.
CMS introduces value-based pediatric model for Medicaid
The new ASPIRE model will award five state Medicaid agencies with $125M to coordinate the care for children with complex medical and behavioral needs.
High costs, more uninsured without enhanced premium tax credits
A new KFF survey reveals significantly higher costs following the expiration of enhanced subsidies for Marketplace plans, with more enrollees dropping coverage this year.
Brian Evanko to succeed David Cordani as CEO of Cigna
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Huron
Change is constant in healthcare, and its speed is accelerating. Huron works with healthcare organizations every day to strengthen and innovate their businesses and build more resilient operations to thrive now and in the future.
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RCM Management
ZOLL Data Systems
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Veradigm Network to Payer
Healthcare Strategies: A Podcast
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
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Latest News
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GoodRx offers employers a workaround for GLP-1s, high-cost meds
A new service will allow employers to provide direct subsidies for high-impact, brand-name medications, like GLP-1s, without adding coverage to their insurance plans.
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CMS solicits information on AI tools for Medicare plan selection
The agency is requesting information on AI tools that can enhance the Medicare beneficiary experience, particularly as it relates to selecting plans.
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Humana's CenterWell acquires MaxHealth primary care clinics
CenterWell's acquisition of MaxHealth's primary care clinics is another step in a growing trend of health insurance vertical integration.
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Employee health plan costs eat up 10% of wages
The U.S. is teetering on a healthcare affordability crisis, as employee health plan premiums and deductibles represent 10% of wages and salaries stagnate.
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Aetna launches digital onboarding to boost member experience
Aetna's investment in digital onboarding is indicative of a growing payer trend toward enhanced digital member experiences.
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CMS to crack down on ACA plan marketing, tighten income verifications
The proposed notice of benefit and payment parameters for 2027 would tighten marketing for ACA plans and income verification rules for consumers seeking assistance with marketplace coverage.
Features
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5 healthcare pros on the trends defining primary care
The 2025 Payer + Provider Virtual Summit explored AI, value-based care and community-based partnerships, offering strategies on how to promote primary and preventive care.
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How payers can regain consumer trust via personalized care
Creating personalized health plans is central to regaining consumer trust. To do that, payers must outline safeguards for member data and create seamless experiences.
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With trust low and costs high, do payers stand to lose members?
Healthcare payers might see fewer enrollments as members face higher prices for a product they don't trust or see as high value.
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Breaking down the ABCs of rising alternative health plans
More employers are seeking alternative health plans, like AHPs and ICHRAs, to bend the cost curve, but education is key to navigating their growing popularity.