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Private Insurers and Medicaid With the potential return of former President Trump to the White House, Medicaid, the U.S. healthcare... Continue Reading

Introduction The United States Department of Health and Human Services Office of Inspector General (HHS OIG) recently released an audit... Continue Reading

Introduction Elevance Health’s commitment to advancing digital care reflects a broader vision to empower patients, improve health outcomes, and bridge... Continue Reading

Introduction Centers for Medicare & Medicaid Services (CMS) finalized the 2025 Medicare Physician Fee Schedule (PFS), presenting a limited yet... Continue Reading

Introduction The healthcare sector is facing an escalating number of cyberattacks, exposing vulnerabilities that threaten patient data and system functionality.... Continue Reading

Introduction Medicare Advantage (MA) plans, offered by private insurers, are evaluated each year by the Centers for Medicare & Medicaid... Continue Reading

Introduction Section 1115 waivers give states the flexibility to innovate in their Medicaid programs, enabling them to test approaches that... Continue Reading

Introduction Legal challenges and settlements are a constant in the healthcare industry, especially for major payers who frequently navigate regulatory... Continue Reading

Introduction Medicare Advantage(MA)  has grown rapidly over the past decade, attracting more than 32 million Americans, which represents approximately 54%... Continue Reading

Introduction Colorado’s mental health centers are facing an unprecedented challenge as the expiration of temporary Medicaid funding, known as Medicaid... Continue Reading