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Across health systems, millions in earned revenue sit inside zero-balance accounts. A claim reaches zero balance. Payment posts. The account closes. Weeks or months later, few hospitals have the resources to revisit whether the payment matched contractual terms or whether…

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Following the annual enrollment period for 2026, 56.1 million people — up from 54.6 million in 2025 — are enrolled in Medicare Part D, which includes standalone prescription drug plans and Medicare Advantage plans with prescription drug coverage, as of…

Oscar Health has promoted Louis DeStefano to chief growth officer and Kristen Prestano to SVP and chief marketing officer. Mr. DeStefano has been with the company since 2017 and previously served as SVP of growth. Ms. Prestano has been with…

Texas emerged as a standout in the 2026 ACA open enrollment period, attracting about 206,000 new enrollees — the highest in the country — according to preliminary data published Jan. 28 by CMS. Meanwhile, nationwide enrollment fell to nearly 23…

Medicare beneficiaries had about 60 million telehealth visits per year between 2021 and 2023, according to a February study published in Annals of Internal Medicine.  Co-author and University of Utah assistant professor Terrence Liu, MD, broke down the findings March…

The Republican-controlled House Committee on Energy and Commerce sent letters March 3 to ten states — California, Colorado, Massachusetts, Maine, Nebraska, New York, Oregon, Pennsylvania, Vermont and Washington — requesting information on fraud, waste and abuse, as well as integrity…

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