New & Notable
Report: Medicare Advantage growth gives way to SNPs
Medicare Advantage growth slowed in 2026, due in part to scaled-back plan offerings, leading beneficiaries to flock to Special Needs Plans.
GoodRx offers employers a workaround for GLP-1s, high-cost meds
A new service will allow employers to provide direct subsidies for high-impact, brand-name medications, like GLP-1s, without adding coverage to their insurance plans.
CMS solicits information on AI tools for Medicare plan selection
The agency is requesting information on AI tools that can enhance the Medicare beneficiary experience, particularly as it relates to selecting plans.
Humana's CenterWell acquires MaxHealth primary care clinics
CenterWell's acquisition of MaxHealth's primary care clinics is another step in a growing trend of health insurance vertical integration.
Cigna to lay off 2,000 workers worldwide
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Cybersecurity
Commvault + Microsoft
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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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Humana taps Google Cloud's agentic AI for member experience
Humana's Agent Assist uses agentic AI technology from Google Cloud to help member experience advocates manage high call volumes.
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Orgs with more MA patients face more readmission penalties
Deeper Medicare Advantage penetration changes the risk pool for hospitals, leading to higher penalties in the Hospital Readmissions Reduction Program, data shows.
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Medicaid improper payments increase, reaching $37.39B
Medicaid, CHIP and Medicare Advantage all saw increases in improper payment rates in FY 2025, while Medicare fee-for-service's rate remained below 10%.
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2026 ACA enrollment lags by 1.5M signups amid subsidy fight
ACA marketplace enrollment decreased for the first time since 2020, potentially due to lapsed premium subsidies.
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Medicaid work requirements to cause 1M missed cancer screenings
Medicaid coverage losses will impact how many people can access preventive care, resulting in a million missed cancer screenings.
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Abridge partners with Availity for AI-powered prior authorizations
Abridge took its next step in powering prior authorizations with AI; this time, the company teamed up with Availity to use conversational intelligence for real-time prior authorizations.
Features
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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.
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How payers can regain consumer trust via personalized care
Creating personalized health plans is central to regaining consumer trust. To do that, payers must outline safeguards for member data and create seamless experiences.
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With trust low and costs high, do payers stand to lose members?
Healthcare payers might see fewer enrollments as members face higher prices for a product they don't trust or see as high value.
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Breaking down the ABCs of rising alternative health plans
More employers are seeking alternative health plans, like AHPs and ICHRAs, to bend the cost curve, but education is key to navigating their growing popularity.