The North Carolina Department of Health and Human Services launched a health plan specifically tailored for Medicaid-enrolled children, youth and young adults, dubbed Healthy Blue Care Together, Dec. 1. The statewide health plan — formed in partnership with Blue Cross…
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Access to GLP-1 medications for weight loss through ACA marketplace plans is shrinking, according to a new analysis from healthcare advisory group Leverage|Axiaci shared with Becker’s. The analysis was conducted with funding from the Robert Wood Johnson Foundation. Leverage|Axiaci reviewed…
Bethesda, Md.-based Aledade secured a $500 million senior secured credit facility from Ares Commercial Finance, according to a Dec. 1 news release from the primary care network. The credit facility has the potential to increase to $650 million. It will…
The American Medical Association voted to approve alternative payment model standards that “bolster rural hospital sustainability,” according to a Nov. 17 news release. Standards include scheduled fixed-cost payments, “adequate” rates for services that could fluctuate and appropriate patient cost-sharing. Payment…
Emergency departments are increasingly overburdened by long wait times, complex patient cases and limited visibility into care history. But during a session at the Fall 2025 Becker’s Payer Issues Roundtable, participants argued that these transition points — if better coordinated…
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UnitedHealthcare has filed a lawsuit against the director of the Idaho Department of Insurance, arguing that the state’s recent efforts to regulate Medicare Advantage plan marketing and broker commissions are in violation of the U.S. Constitution. The lawsuit, filed Nov.…
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. Albany (N.Y.) Medical Center seeks a system payer contracting director. 2. Barton HealthCare…
CMS published its 2027 Medicare Advantage and Part D proposed rule on Nov. 25 that includes an overhaul of how star ratings are calculated, new enrollment flexibilities, and rollbacks of Biden-era health equity requirements. The proposed rule is subject to…
ACA enhanced tax credits may best be described as a “will they or won’t they” — will Congress extend them past the end of the year, or are they on track to expire? While an extension could happen, the outcome…
Arkansas will see the largest percentage increase in average ACA benchmark premiums between 2025 and 2026, while Alaska is the only state where the average benchmark premium will decline, according to KFF. The U.S. average increase is 26%. Premiums were…