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CMS suggests public payer weight loss drug coverage changes

CMS suggests public payer weight loss drug coverage changes

Amid suggestions around prior authorizations and AI use, CMS introduces a policy that would expand weight loss drug coverage in Medicare Advantage, Medicaid and Part D plans.

Top 5 Medicare Advantage payers by footprint in 2025

Top 5 Medicare Advantage payers by footprint in 2025

The five Medicare Advantage payers with the largest footprint in 2025 made their case to beneficiaries by positioning themselves on affordability, quality and access to care.

Understanding Medicare vs. Medicaid vs. CHIP

Understanding Medicare vs. Medicaid vs. CHIP

Medicare, Medicaid and CHIP are very influential in the healthcare industry at large, often steering trends in value-based care, social determinants of health and health equity.

ACA open enrollment for 2025: What you need to know

ACA open enrollment for 2025: What you need to know

CMS pursued proven outreach strategies for ACA open enrollment 2025, sought to lower costs for consumers, and announced that the number of ACA plans had increased.

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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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