The new WISeR Medicare pilot uses AI to manage prior authorizations, impacting care access and insurer incentives in six states, with significant implications for rural healthcare.
UCI Health launches the largest all-electric hospital in the U.S., pioneering energy-efficient healthcare infrastructure with reduced carbon footprint and advanced HVAC and kitchen systems. The facility aims for LEED Platinum certification and addresses vital backup power reliability.
New York Supreme Court permits the January launch of NYCE PPO, a self-funded health plan administered by EmblemHealth and UMR, rejecting attempts to block the rollout. The court cited lack of proven harm and legal ambiguities in municipal codes.
Analyze the 2026 trends in Medicare Advantage plans focusing on supplemental benefits like dental, vision, fitness, and transportation, with insights on eligibility shifts and cost management.
ASCRS addresses 2025 Medicare cuts, CMS proposals impacting cataract surgery reimbursement, scope of practice expansions, and advocates for fair payment and regulatory reforms in ophthalmology for 2026.
Summary unavailable due to subscription-only access for this December 2025 insurance article.
Major U.S. payer-provider contracts with Blue Cross Blue Shield and UnitedHealthcare remain unresolved heading into late 2025, with potential coverage impacts for Medicare, Medicaid, and commercial plans.
Aetna and Providence Health & Services resume in-network status for Oregon commercial plan members, enhancing provider access amid rising healthcare costs and evolving insurance agreements.
MaineCare updates its provider enrollment fee to $750 starting January 2026, reflecting CMS requirements. This impacts new and existing Medicaid providers in Maine form submission and fees.
Explore detailed enrollment trends for the employer-group Medicare Advantage market, which comprises 16.2% of total Medicare Advantage members as of late 2025. Insights by Mark Farrah Associates based on CMS data.
