Observation care is underused, inconsistently applied and frequently misunderstood — but it has a major role to play in reducing unnecessary inpatient admissions and controlling national health expenditures. This whitepaper explores how properly implemented observation care can support payer-provider alignment,…
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Gov. Kelly Ayotte prevented New Hampshire’s Executive Council from moving forward with a four-year, $27.5 million benefits contract with Anthem Health Plans of New Hampshire to cover current and retired state employees, according to Sept. 17 meeting records. The state’s…
CMS has finalized a rule requiring Medicare Advantage plans to submit provider directory data for inclusion in the Medicare Plan Finder. The change, aimed at improving transparency and beneficiary decision-making, takes effect January 1, 2026. Under the rule, MA plans…
From a judge denying a bid to limit discovery in an AI denial case to boosting lobbying efforts, here are 10 headlines about UnitedHealth Group and its subsidiaries that Becker’s has reported on since Sept. 5: 1. Senate and House…
The Congressional Budget Office found permanently expanding ACA enhanced premium tax credits prior to the federal government’s Sept. 30 fiscal year end would boost the insured population by 3.8 million people over the next decade, while increasing the deficit by…
Patients who get primary care from older adult-focused, value-based care organizations are more likely to use these services regularly, according to a study published in NEJM Catalyst: Innovations in Care Delivery, a digital journal published by The New England Journal…
A woman is suing Elevance Health after being denied coverage for Zepbound — Eli Lilly’s weight-loss drug — to treat her sleep apnea, a court filing said. According to the complaint, the FDA approved Zepbound “as the first and only…
Today, over three quarters of US adults are actively trying to lose weight, and many are turning to prescription medications to do so. But while these drugs can be effective, fewer than one in three patients remain on GLP-1s after…
Presented by:
Maggie Williams, MD
Senior Medical Director, MD Live
Catherine Brown
VP of Clinical Services, Welldoc
Elevance Health is expanding its education and professional development benefits with new programs centered on artificial intelligence and career growth. The insurer is partnering with OpenAI to offer employees AI certifications, including training in areas such as prompt engineering and…
Blue Cross Blue Shield of Massachusetts has hired Sophie Clarke, MD, as chief strategy officer and senior vice president, according to a Sept. 18 news release. Dr. Clarke’s role will focus on corporate strategy, along with identifying companies to fund…
