Medicare, Medicaid and CHIP
Government programs ensure access to healthcare for vulnerable populations. Medicare covers people 65 and older and younger individuals with specific disabilities. Medicaid and the Children's Health Insurance Program (CHIP) are joint federal-state initiatives offering health coverage to low-income families, children, pregnant women, the elderly and people with disabilities.
Top Stories
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News
04 Feb 2026
Nearly 45% of healthcare payments tied to APMs: Survey
The latest healthcare payments data shows stable participation in alternative payment models, although there was little growth in risk-based payments. Continue Reading
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News
28 Jan 2026
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. Continue Reading
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News
19 Oct 2017
Anthem Adds Home Meal Delivery to Medicare Advantage Plans
The payer is providing their Medicare Advantage members with post-discharge home meal delivery service to reduce the likelihood of complications. Continue Reading
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Answer
17 Aug 2017
How Payer Philanthropy Can Address Social Determinants of Health
Payers looking to reduce their downstream spending are pouring millions into addressing the social determinants of health in the community setting. Continue Reading
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News
13 Dec 2016
UnitedHealthcare Cut Costs through Value-Based Care Programs
UnitedHealthcare expanded value-based care programs such as accountable care organizations, which led to reduced spending and a drop in acute inpatient admission rates. Continue Reading
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Answer
02 Sep 2016
How Health Insurance Mergers Could Change the Payer Industry
Potential health insurance mergers have come under such close scrutiny as a result of concerns over how they will change the payer landscape if completed. Continue Reading
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News
19 Aug 2016
Drop Outs in Exchanges, Health Insurance Merger Block Hit Market
The health insurance market has seen significant challenges as many major payers have been dropping out of the health insurance exchanges and the DOJ blocked two health insurance mergers. Continue Reading
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Answer
09 Aug 2016
How Payers Could Succeed in ACA Health Insurance Exchanges
Payers should take advantage of the competition available through the ACA health insurance exchanges in order to succeed. Continue Reading