More than 1 million people in the U.S. are living with diagnosed HIV, yet prevention still sits largely in specialty settings. CDC survey data shows how often testing and pre-exposure prophylaxis conversations are missed even when patients do reach care.…
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More than 150 independent rural hospitals across eight states have banded together into clinically integrated networks over the past three years, betting that shared scale, data and negotiating leverage can keep them out of the arms of consolidating systems and…
Pharmacies have been seeing compelling interest in Medicare’s GLP-1 Bridge program since its July launch, NPR first reported. The demonstration, designed to give eligible Medicare Part D beneficiaries access to certain GLP-1s at a fixed monthly cost, will run through…
Most health system continuity plans were built for a different disaster — severe weather, mass-casualty events, scheduled maintenance. Those are forecastable or finite. A cyber event is neither. It arrives without warning, often starts at a vendor you can’t see,…
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Molina Healthcare of Ohio’s COO, Holly Saelens, has left her role. According to a September LinkedIn post, Ms. Saelens said she has joined AARP Ohio as a state government affairs manager. “This move reflects my passion for strengthening the health…
Value-based care has entered the mainstream. The latest national measurement from AHIP found that nearly 45% of U.S. healthcare payments flowed through models holding providers accountable for quality and cost in 2024—nearly twice the share reported a decade earlier. Yet…
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By the time MLR pressure shows up in your numbers, the margin may already be locked into the quarter. The question is whether you’ll spot the signals early enough to change the outcome. Most health plans don’t recognize margin pressure…
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Elevance Health is suing a former vice president over his move to Oscar Health, alleging it would put the insurer’s trade secrets in the hands of a direct competitor. The suit is at least the fifth Elevance has brought against…
Nationally, nearly 95% of private sector employers with 50 or more employees offer health insurance to their workers, according to an analysis from KFF. The 2025 data comes from the Agency for Healthcare Research and Quality’s Medical Expenditure Panel Survey…
Nationally, just over 32% of private sector employers with fewer than 50 employees offer health insurance to their workers, according to a KFF analysis. The 2025 data comes from the Agency for Healthcare Research and Quality’s Medical Expenditure Panel Survey…
