Affordability is a persistent struggle with employer-sponsored health insurance, according to 2024 data published in December by the University of Minnesota’s State Health Access Data Assistance Center. The data brief relied on the Agency for Healthcare Research and Quality’s Medical…
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Negotiated prices for 10 Medicare Part D drugs will go into effect Jan. 1, 2026, which could lead to $1.5 billion in out-of-pocket savings, according to a December AARP Public Policy Institute report. The negotiations stem from the Inflation Reduction…
Payer-provider relationships have long been challenged by administrative complexity, inconsistent requirements and misaligned incentives. These issues can contribute to care delays, payment delays and unnecessary friction for both organizations. Inconsistent requirements, duplicative documentation and misaligned incentives have made even routine…
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Replacing just one primary care physician can cost up to $900,000 in lost revenue annually. Yet many health systems still treat staffing like a back-office function — not a strategic, critical lever for care delivery innovation, physician retention, and enterprise…
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Asset limits will return to California’s Medicaid, Medi-Cal, next year, and new enrollments are on pause for those lacking “satisfactory immigration status,” according to the state Department of Health Care Services. While income is the only factor for Medicaid eligibility…
Discover how AI is creating new opportunities for cost savings and efficiency in healthcare technology management (HTM). Register for our upcoming webinar where we will discuss new technology-driven strategies to tackle your healthcare technology challenges—from managing growing medical equipment inventories…
Jan 27, 2026 1:00 PM - 2:00 PM America/Chicago
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Steve Martin
Chief Technology Officer, TRIMEDX
Fitch Ratings has issued a “deteriorating” outlook for the U.S. health insurance industry in 2026, citing persistent medical cost pressures, regulatory uncertainty, and fallout from expiring ACA enhanced subsidies. The Dec. 30 report shared with Becker’s projects medical loss ratios…
State Medicaid agencies have made an estimated $289 million in improper capitation payments to managed care organizations on behalf of deceased enrollees since 2016, according to a series of audits from the HHS Office of Inspector General. The latest OIG…
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Ardent Health, based in Brentwood, Tenn., seeks a vice president of payer strategies. …
Switching from Medicare Advantage to traditional Medicare was associated with increased mental health visits, along with a shift toward nurse practitioners and away from emergency and internal medicine specialists, according to a December study published in the American Journal of…