The New York State Conference of Blue Cross and Blue Shield Plans voiced affordability concerns over three payer-focused mandates that went into effect Jan. 1. The mandates include first-in-the-nation scalp-cooling coverage for chemotherapy patients, EpiPen out-of-pocket caps and expanded access,…
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The expiration of enhanced ACA premium tax credits and new Trump administration policies mean big changes for catastrophic and bronze ACA plans in 2026, per KFF. Six notes:
President Donald Trump said Jan. 6 that he plans to meet with 14 insurance companies “in a few days” to pressure them to lower prices for Americans. “We’re trying to solve the healthcare problem. We’re trying to get better healthcare…
Flexible staffing can enhance agility, but without the right design, it can strain teams and budgets. In today’s healthcare environment, leaders are increasingly pairing per diem staffing with centralized float pools and technology to optimize coverage, reduce administrative burden and…
Presented by:
- Erin Shadbolt, CEO, Ascension Living
- Liz Cunningham, SVP and leader of WorkWise, Workforce Solutions, AMN Healthcare
Youth mental health has been a pressing issue in recent years. With Medicaid as the country’s largest payer for mental health services, the program’s role is all the more essential. The National Academy for State Health Policy evaluated state Medicaid…
San Antonio, Texas-based Baptist Health System has filed a lawsuit against UnitedHealthcare over alleged underpayments for emergency room services provided to patients with ACA coverage, the San Antonio Express-News reported Jan. 2. The health system’s hospitals are not in network…
A joint fund created to stabilize health insurance costs for New York City employees and retirees is insolvent and has accrued $3.1 billion in unreported liabilities, according to a Dec. 30 audit from the NYC Comptroller. The audit found that…
2025 exposed hard truths: Denials surged. Trust collapsed. And affordability became the dominant barrier to care, not just on the Exchange and among the uninsured, but across Medicare Advantage and commercial plans alike. This 2026 outlook unpacks the forces reshaping…
Presented by:
Clever Care Health Plan CEO Karen Walker Johnson, BSN, thinks her company’s edge is one that bigger insurers might have trouble replicating. That edge is Clever Care’s focus on offering “culturally sensitive Medicare options,” and it is baked into the…
Academic health systems are entering a defining decade. Many are expanding rapidly through mergers, affiliations and new service lines. But with scale comes risk: fragmentation, mission drift and uneven progress on access and equity. This whitepaper features insights from 11…
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