CMS Launches New Verification Process to Enhance Medicaid and CHIP Integrity

CMS introduces a new verification process for Medicaid and CHIP to ensure enrollee eligibility, safeguard taxpayer funds, and enhance program integrity with state-level review and enforcement.

Catalyst Solutions Launches Multi-State Implementation for P3 Health Partners

Catalyst Solutions completed a rapid 60-day implementation of Professional Health Partners services across Arizona, Oregon, Nevada, and California, enhancing Medicare population health management with scalable, hybrid onshore/offshore support.

2024 Health Policy Updates: Medicaid, Medicare, Telehealth, and Administrative Reforms

An in-depth analysis of 2024 U.S. healthcare policy updates affecting Medicaid, Medicare payments, telehealth, and administrative reforms impacting medical groups and physicians.

Federal Court Limits Jurisdiction in 340B Reimbursement Dispute in North Carolina

A North Carolina federal court ruling restricts federal jurisdiction in health care reimbursement disputes involving 340B program contracts, emphasizing state law's primacy in provider-payer agreement claims.

Wellth Raises $36M to Expand AI-Driven Patient Engagement for Medicaid and Medicare

Wellth secures $36 million Series C funding to enhance its AI-driven platform that improves medication adherence and preventive care in Medicare Advantage and Medicaid populations.

AM Best Lowers U.S. Health Insurance Outlook to Negative Amid Rising Costs

AM Best revises U.S. health insurance sector outlook to negative due to higher medical utilization, rising costs, and regulatory challenges impacting Medicare, Medicaid, commercial, and ACA markets through 2025.

H.R. 1 Medicaid Reforms Target Fiscal Discipline and Rural Healthcare

H.R. 1 introduces Medicaid eligibility reforms and establishes a $50B Rural Health Transformation Fund, aiming to enhance fiscal discipline and support rural hospitals.

Market Fragility and Retail Behavior in Passive-Dominated Equity Markets

Explore the risks and dynamics of retail investors' "buy every dip" strategy in today's passive-driven U.S. equity markets and implications for market liquidity and volatility.

Five Arizona Hospitals Earn Top Five-Star Quality Ratings in Federal Update

Five Arizona hospitals achieved five-star Medicare quality ratings in the latest federal review, with none in the lowest rating tier, reflecting strong statewide healthcare performance.

Federal Court Halts Key CMS ACA Enrollment Rule Ahead of Implementation

Federal court temporarily blocks key CMS rule on ACA health insurance exchange enrollment and eligibility pending further legal review, creating regulatory uncertainty.