New & Notable
How this payer achieved mental health parity accreditation
Blue Cross Blue Shield of Minnesota says it achieved URAC's mental health parity accreditation because it employs a dedicated team focused on mental health access.
National health expenditures to reach $8.6T by 2033: CMS
CMS projects national health expenditures to increase by 5.8% from 2024 to 2033, reaching $8.6 trillion by the end of the period as the last of the Baby Boomers age into Medicare.
Major health plans pledge to simplify prior authorizations
Dozens of U.S. health plans vowed to implement six actions to standardize, streamline and reduce prior authorization, AHIP announced.
CMS finalizes changes to ACA Exchange eligibility process
CMS' finalized changes to the ACA Exchange eligibility process focus on verification to weed out what it claims is waste, fraud and abuse.
Insights
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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.
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Latest News
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Medicare out by 2033, other takeaways from the Trustees Report
The 2025 Medicare Trustees Report shows Medicare running dry sooner than previously projected as the program faces increased challenges with physician payment rates.
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Medicare Advantage patients face longer hospital stays: Report
NORC researchers found that Medicare Advantage enrollees are more likely to have longer hospital stays and less access to follow-up care compared to traditional Medicare patients.
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Uninsured rate dips linked to Medicaid expansion, outcomes
Commonwealth Fund researchers said dips in statewide uninsured rates are likely due to Medicaid expansion and the ACA marketplace plans.
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Senate committee's Medicaid cuts imperil coverage, outcomes
Outside experts say ACA changes and Medicaid cuts could threaten insurance coverage and cause thousands of preventable deaths.
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Cigna to launch 6 new AI features in member portal
The payer is launching AI features to answer members' benefits and claims questions, track their costs and find healthcare providers and services that match their medical needs.
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MedPAC calls for overhaul of physician fee schedule updates
MedPAC recommended to Congress inflation-based updates to Medicare's physician fee schedule to improve predictability for clinicians and access to care for beneficiaries.
Features
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Exploring Transparency in Coverage schema 2.0, prescription drug prices
Federal agencies unveiled updates to Transparency in Coverage, mandating a new technical schema that promises to improve data and floating prescription drug price transparency.
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What agencies must know about House-passed Medicaid cuts
As the budget reconciliation bill awaits Senate approval, Medicaid agencies must assess how they'll handle massive Medicaid cuts.
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How employers can promote preventive healthcare for members
Employers should examine their benefits, including those they don’t use, to assess how they can promote preventive healthcare access among employees.
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How companies find solutions to employer GLP-1 coverage
Employer GLP-1 coverage has serious cost barriers, but some companies are turning to technology vendors to provide a comprehensive approach to access.