New & Notable
As No Surprises Act rules tighten, Zelis expands AI role in dispute process
Zelis launches an AI-powered platform for No Surprises Act disputes as insurers face new compliance demands and scrutiny over reimbursement practices.
RAND: State Medicaid funding to fall 5% or more for half of the U.S.
State Medicaid funds are slated to fall by $679B through 2034, with 26 states facing cuts of 5% or more, while a select few are expected to see a boost, RAND reports.
OIG: Medicaid managed care provider directories have inaccuracies
Medicaid managed care plan provider directories contain inaccuracies about in-network maternity care providers and their contact information.
Fewer insurers participating in ACA marketplaces amid policy turmoil, KFF finds
The average number of issuers fell from a record high of 9.6 per state in 2025 to just nine this year, according to the health policy researcher.
— Healthcare DiveConsumers are less satisfied with their health plans: JD Power
— Healthcare DiveSponsored Sites
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Interoperability
Veradigm Network to Payer
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Cybersecurity
Commvault + Microsoft
Together, Commvault and Microsoft are redefining cybersecurity and data resilience with a comprehensive, integrated platform, purpose-built to secure, defend, and recover data wherever it lives with true cloud simplicity, intelligence, and scale.
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Healthcare
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.
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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ICHRAs enter the mainstream market with broker support
Most brokers are now actively recommending ICHRAs as an alternative to traditional employer-sponsored coverage as employers face double-digit medical cost growth.
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GLP-1s, outpatient utilization spur healthcare cost growth in 2026
The cost of care for a person on an employer-sponsored health plan grew 8% in 2026, with premiums hitting $2,295. GLP-1s and more outpatient care are the likely culprits.
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Two USPSTF leaders fired, sparking concern about panel's credibility
The ouster of two U.S. Preventive Services Task Force members is sparking concern among population health experts who worry the panel may no longer be independent.
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ACA Marketplace deductibles increased by over $1K: KFF
The expiration of enhanced premium tax credits is increasing ACA Marketplace deductibles as enrollment hits an all-time low, KFF reports.
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ACP calls for Medicare Advantage transparency overhaul
The American College of Physicians urged overhauls to Medicare Advantage that would promote transparency, access to care and healthcare affordability.
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Feds hold states to the fire over Medicaid fraud as CA loses $1B
The White House wants proof that states are aggressively pursuing Medicaid fraud, threatening to stop funding if they don't take it seriously enough.
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.