New & Notable
AHIP pledges vaccine coverage ahead of ACIP meeting
AHIP members commit to covering vaccines, including the latest flu and COVID-19 jabs, through next year as the CDC's vaccine advisory panel plans to debate common immunizations.
NCQA: 5-Star health plan performance nearly doubles for 2025
NCQA said there were 11 health plans that received a 5-star rating for the 2025 and another 55 that received a 4.5-star rating.
What's ahead for prior authorizations as new requirements loom
CMS will require faster decisions and electronic data exchange for prior authorizations; however, providers question whether the requirements will relieve their heavy burden.
AHA urges FTC, DOJ antitrust probe into 340B rebate models
AHA stressed the damage that 340B rebate models would have on hospitals that use 340B savings to treat underserved patient populations.
Sponsored Sites
-
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.
-
Autonomous Coding
Solventum
-
Financial Responsibility
CareCredit
We do something very simple at CareCredit: We help people get the care they want for themselves and their families.
Healthcare Strategies: A Podcast
-
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.
View All Episodes
Latest News
-
Breaking down uninsured numbers under Trump's spending law
The newly signed One Big Beautiful Bill Act will increase the uninsured rate in the U.S., especially as the law prompts changes to Medicaid and Health Insurance Marketplace policy.
-
MA plans' LTSS supplemental benefits have untapped potential
Despite a 2018 rule allowing more LTSS supplemental benefits in Medicare Advantage, the share of plans offering them has gone down.
-
Health Insurance Marketplace premiums to grow 18%: KFF
Payers expect Health Insurance Marketplace premiums to generally increase in 2026 as they face higher costs, utilization and staffing challenges, according to a new KFF analysis.
-
DOJ Oks UnitedHealth, Amedisys deal on divestiture conditions
DOJ said UnitedHealth and Amedisys could move ahead with the $3.3B acquisition as long as they both divest at least 164 of their home health and hospice facilities.
-
Blue Shield of CA adds drug price transparency to member app
Blue Shield of California said the drug price transparency tool will promote a better consumer experience and enable comparison shopping for members.
-
Top stats on Medicare Advantage enrollment, costs in 2025
Two new analyses from KFF identify key trends in Medicare Advantage enrollment and costs in 2025, including lower premiums and growth in special needs plans.
Features
-
UnitedHealthcare's provider search tool hinges on consumerism
UnitedHealthcare designed its provider search tool to fulfill the growing demands of healthcare consumerism while nudging the user toward high-value providers.
-
Key features of a health insurance member portal
Member portals will be key as health insurance companies adjust to healthcare consumerism and prioritize better member experiences.
-
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.
-
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.