Capital dollars lose value the longer approved projects sit idle. Nearly 40% of healthcare organizations take more than 12 months to move a project from plan into execution, and many stall 9 to 10 months after approval, while emergency repairs…
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Insurers estimate that they will pay more than $759 million in medical loss ratio rebates across commercial markets in 2026. KFF’s preliminary analysis is based on insurer-reported financial data from market database Health Coverage Portal TM. The ACA established an…
The country’s largest healthcare company is placing a bet on Anthropic. Optum, part of UnitedHealth Group, is partnering with Anthropic “to responsibly bring AI to healthcare to help people live healthier lives, reduce the administrative burden, and make the health…
CVS Health CEO David Joyner is skeptical as to whether the evidence backs GLP-1 investment right now. “Everybody intuitively believes these medications create long-term health benefits, but the evidence hasn’t yet demonstrated that paying today’s prices generates enough downstream savings,”…
Pharmacy leaders are being asked to absorb more clinic volume, shorten time to therapy and prove enterprise value — all without new headcount. A few systems are finding a way. In this live session, pharmacy leaders from Cone Health, St.…
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A federal judge has dismissed with prejudice a lawsuit from Blue Cross Blue Shield of Georgia that accused medical billing company HaloMD and two physician groups of conspiring to defraud the insurer through the No Surprises Act’s arbitration process. The…
Entering the summer, Centene announced some workforce and leadership shifts, as well as a major Medicaid expansion exit. Here are four recent Centene updates: 1. Centene’s Ambetter is departing Arkansas’ Medicaid expansion program, Arkansas Health and Opportunity for Me, in…
Every healthcare organization is under pressure to improve patient access, reduce administrative burden, and do more with limited staff. AI has quickly become part of that conversation, but knowing where to start, and how to avoid costly missteps, is less…
Picture the months after an AI rollout in patient access: clinicians working around the tool instead of with it, a workflow that looked seamless in the demo now creating new friction and a nagging question about whether patients are actually…
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CMS lacks adequate safeguards to stop agents and brokers from enrolling individuals into ACA coverage or switching their plans without consent, according to a report from the Government Accountability Office published July 13. More than 19 million people were enrolled…
