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.

R1 adds prior authorization solution to new revenue cycle OS
R1 announced a new prior authorization solution as part of the Phare OS that seek to automate and scale the process for faster ...
Healthcare leaders expect AI maturity this year, especially in RCM
A new report shows low AI maturity despite widespread adoption in the revenue cycle. Still, leaders expect to mature rapidly over...
U.S. healthcare spending reaches $5.3T as utilization rebounds
New CMS data shows another year of accelerated healthcare spending driven by increased utilization, particularly of hospital and ...

Getting ready for the AI era of virtual healthcare
With AI integration expected to grow in 2026, virtual care leaders must implement AI management strategies to ensure safe, ...
How providers can prepare for the upcoming telehealth cliff
Telehealth flexibilities are set to expire on Jan. 30, 2026, but there are strategies that can help healthcare providers navigate...
FDA to ease healthcare wearables oversight
The agency will limit regulation of non-medical grade tools, such as healthcare wearables and software, that claim to encourage ...

NLP patient portal add-on helps docs read messages faster
NLP helped triage patient portal messages at 81% accuracy, speeding up provider response times by nearly 17 hours.
Patient portal 'techquity' elusive, digital divide remains
The patient portal digital divide might perpetuate disparities in certain health outcomes, researchers said.
Business needs push health equity back to the fore in 2026
Healthcare is still managing challenges related to disparities in health outcomes, creating a business case for renewed energy in...

KLAS: Ambient speech remains healthcare's top AI use case
Leaders are cautious about higher stakes, care-transformative applications, a new KLAS report shows.
Epic, health systems file lawsuit alleging HIE exploitation
The lawsuit details a scheme in which health organizations are using HIE interoperability frameworks to access and use patient ...
Boosting health record sharing in rural areas through TEFCA
By participating in TEFCA, Bryan Health aims to improve trust in sharing EHR data and boost interoperability in rural communities.

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