New & Notable
Humana soars, Alignment plummets in 2027 Medicare Advantage star ratings
A Healthcare Dive analysis of highly anticipated stars data for next year shows a potpourri of winners and losers, though — as expected — the quality scores slipped overall.
— Healthcare Dive
Medical coding, GLP-1s push BCBSMA spending up 12%
Blue Cross Blue Shield of Massachusetts documents a rapid growth in healthcare spending after COVID-19 in a new study, which points to rises in medical and GLP-1 utilization.
New Cigna tool links member data for personalized health management
Cigna said its Health Sense tool will cut 10% of inefficient spending by synthesizing member and benefits data and providing personalized health management.
Trump administration revamps insurer price transparency reporting
On Monday, the HHS and Labor and Treasury Departments finalized a rule meant to strip out junk cluttering cost disclosures, among other reforms. Employers cheered the changes.
— Healthcare DiveHere’s how much insurers are cutting Medicare Advantage plans for 2027
— Healthcare DiveSponsored Sites
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Autonomous Coding
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Financial Responsibility
CareCredit
We do something very simple at CareCredit: We help people get the care they want for themselves and their families.
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Revenue Cycle Management
Greenway Health
Improving healthcare through innovation is at the heart of Greenway Health’s work. We provide electronic health records (EHR), practice management, and revenue cycle management solutions that help practices in multiple specialties grow profitably, remain compliant, work more efficiently, and improve patient outcomes.
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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Self-funded employers pay the price for IDR problems
A new report finds that self-funded employers are struggling to manage the volume and added costs of the federal IDR process.
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New IDR portal sign-ups open for No Surprises Act disputes
The CMS has opened registration for the IDR Gateway, a centralized platform for parties to manage No Surprises Act disputes, which will formally open in late 2026.
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62% of young members use AI to choose a health plan
Health plans risk $3 billion in future member lifetime value if they continue to fall short on trust, opening the door for members to build relationships with AI.
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Seasonal work risks Medicaid work requirement compliance
One in five adults at risk of noncompliance with Medicaid work requirements already work, with their hours just missing the 20-hour requirement set out by CMS.
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Medicare GLP-1 program sees rapid uptake among seniors
CMS Administrator Mehmet Oz says 600,000 seniors have signed up for discounted GLP-1s through Medicare Bridge, projecting taxpayer savings through reduced hospitalizations.
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Cigna links supplemental benefits with medical plans
In 2027, employers can offer Medical with Smart Coverage, which allows them to connect supplemental benefits to high-deductible health plans.
Features
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Aetna CTO talks prior auth AI strategy, AI governance
Aetna chief technology officer Nathan Frank says the payer has a product- and business-first approach to AI, steering clear of AI for AI's sake.
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Can Costco hack Medicare Advantage's consumer loyalty problems?
Costco announced it'll sell Medicare Advantage plans in partnership with SCAN Health Plan, testing the wholesaler's consumer loyalty in a new market.
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Inside Elevance's digital chronic disease management strategy
The payer uses multiple chronic disease management programs to avoid a one-size-fits-all approach to member engagement.
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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.