Sponsored Sites
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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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Specialty Drug Management
Optum Specialty Fusion
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RCM Management
ZOLL Data Systems
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.
View All Episodes
Latest News
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CMS releases final ACA marketplace payment notice for 2026
The 2026 updates to the ACA marketplace include calculation updates for risk adjustment, slight changes to cost-sharing reduction loading practices and more.
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2025 ACA open enrollment breaks records with time to spare
This ACA open enrollment season saw 3.2 million new enrollees enter the marketplace and those numbers could grow before the season ends on Jan. 15, 2025.
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How to overcome weaknesses in Medicaid postpartum coverage
Medicaid postpartum coverage extensions have been critical, but states face challenges addressing access to care, quality of care and MCO accountability.
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High health costs force small employers to up cost-sharing
As small businesses struggle to keep up with rising healthcare costs, many have increased cost-sharing for their workers in both single and family coverage.
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Lawmakers promote access to direct primary care in Medicaid
While Medicaid programs can use waivers to implement direct primary care, a law that is under consideration in the Senate would make it easier for states to take this approach.
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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.
Features
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2025 Medicare, Medicaid trends to watch in spending, strategy
The new year brings many old challenges, such as high spending trends, but payers in Medicare and Medicaid will weather these difficulties through insightfulness and agility.
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5 pillars that underpin payer population health strategies
The healthcare system faces many challenges, but by focusing on these five pillars, payers can establish holistic and effective population health strategies.
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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.
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Key MA quality bonus payment program outcomes, concerns
Understanding the quality bonus payment program is critical to appreciating Medicare Advantage and discussing the calls for reform.