Through a collaboration with Evolent — a health technology company focused on managing complex care — Florida Blue achieved a 40% drop in hospital and emergency room visits for Medicare Advantage members with cancer, according to a Jan. 14 news…
Research & Analysis
Forty-six percent of New Yorkers would not be able to take on an unanticipated $1,000 medical bill without going into debt, according to a Jan. 12 MetroPlusHealth Care Crunch Index survey. MetroPlusHealth surveyed 1,010 adults across the five boroughs and…
A team of Stanford (Calif.) University researchers specializing in health law, AI, ethics and medicine identified “risks of supercharged flaws” in harnessing AI for prior authorization in a Jan. 6 Health Affairs report. Prior authorization is a longstanding sore spot…
From $1 trillion in Medicaid cuts courtesy of the One Big Beautiful Bill Act to workforce shortages, Medicaid home- and community-based services are under pressure. KFF evaluated payment rates, provider closures and staffing issues through a 2025 survey. All states,…
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…
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…
Health insurance is the most-valued employee benefit among U.S. workers, according to a Dec. 4 report from Indeed’s Hiring Lab. The findings are based on Indeed’s 2025 Workforce Insights Survey, which polled 80,936 adults between May and June across eight…
Payers still have a ways to go in meeting their goals ahead of CMS’ Advancing Interoperability and Improving Prior Authorization Final Rule, according to a survey from the Workgroup for Electronic Data Interchange. WEDI advises HHS on health IT. CMS’…
UnitedHealth Group has released findings from multiple independent reviews of its business practices following a June pledge from CEO Stephen Hemsley to conduct a transparent and comprehensive examination of company processes. The reviews, conducted by FTI Consulting and Analysis Group,…