Pittsburgh-based Highmark Health reported a $674 million operating loss in 2025, reflecting continued insurance headwinds despite improved performance at its hospital division. Highmark — which operates health plans, health system Allegheny Health Network and several other businesses — reported a…
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New York Attorney General Letitia James reported $1.53 million in restitution and savings in 2025 through her office’s healthcare helpline, according to a March 23 news release. The helpline acts as a resource for New Yorkers seeking clarity on bills,…
Medicare Advantage now covers about 55% of eligible beneficiaries (about 35 million people) and costs the federal government a projected $76 billion more in 2026 than traditional fee-for-service Medicare would, according to a March report by the Medicare Payment Advisory…
CMS approved Minnesota’s plan to tackle Medicaid integrity concerns, according to a March 19 letter to the state’s Medicaid director. In January, CMS informed Minnesota of “several deficiencies” in the state’s Dec. 31 plan submission to resolve integrity concerns, which…
Eight out of ten Americans turn to search engines or general-purpose LLMs at least once a month for medical questions. Yet physician-led evaluations show some AI chatbots deliver unsafe or harmful responses in up to 43% of cases, creating new…
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Christy Valentine Theard, MD, will serve as the plan president for Anthem BCBS Medicaid in New York, according to a March 24 news release shared with Becker’s. Dr. Valentine Theard served as CEO of Healthy Blue Louisiana, which manages Medicaid…
Dana Erickson, BSN, RN, president and CEO of Eagan, Minn.-based Blue Cross and Blue Shield of Minnesota, has resigned from the board of Sacramento, Calif.-based Sutter Health as the system moves forward with its proposed acquisition of Minneapolis-based Allina Health,…
Parts of Chicago-based CommonSpirit Health’s Colorado and Texas markets are back in network for Humana Medicare Advantage members under a national, three-year agreement, according to a March 23 news release. The agreement, which is the product of nearly one year…
Lipoprotein(a) testing can reveal inherited cardiovascular risk that routine cholesterol panels may miss. This clinician-focused playbook from the American Heart Association offers a practical framework for understanding when Lp(a) testing matters, how to interpret results and how to guide patient…
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Labor remains hospitals’ largest expense, yet many organizations still struggle to manage it effectively. Persistent workforce shortages, rising premium labor and fluctuating patient demand have made traditional approaches insufficient. Organizations that rely on retrospective reporting often react too late, absorbing…
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