CMS Proposes Major Medicaid Reform to Enhance Care and Reduce Costs
The CMS proposes a major Medicaid reform aiming to align payment practices with Medicare and save $775 billion while enhancing patient care.
Rising Costs of Hospital Care: Implications for Healthcare Spending
Explore the rising costs of hospital care, Medicare reforms, and key strategies to control healthcare spending, crucial for insurers and policymakers.
Massachusetts 20 Years of Health Care Reform: Lessons and Future Directions
Explore the 20th anniversary of Massachusetts' health care reform, examining its impacts, ongoing challenges, and proposed reforms for a better future.
Regulatory Actions on Pharmacy Benefit Managers: Significant Changes Ahead
Explore significant regulatory changes in pharmacy benefit management, focusing on transparency and compliance in drug pricing for insurance plans, effective in 2029.
Health Insurance Subsidies Impasse and ACA Impact on Coverage
Explore the impasse on health insurance subsidies and the Affordable Care Act's impact on coverage and costs, affecting millions of Americans' healthcare.
Strategic Updates to Medical Self Insurance Fund for Fiscal Stability
Discover essential updates to the Medical Self Insurance Fund and strategic measures for mitigating rising health insurance costs and ensuring fiscal responsibility.
Navigating Rising Health Care Costs: The Role of Reference Pricing in Insurance
Explore cost mitigation strategies like reference pricing in health insurance to control escalating healthcare costs and improve affordability for employees and employers.
Michigan House Speaker Proposes Hospital Charge Regulations to Lower Healthcare Costs
Michigan House Speaker Matt Hall considers new commission or fee schedules to regulate hospital charges, aiming to reduce healthcare expenses by adopting utility rate oversight strategies.
CMS Launches Prior Authorization Pilot in Traditional Medicare to Control Costs
CMS initiates a six-state pilot requiring prior authorization in traditional Medicare to target overuse and cut costs, testing expanded regulatory controls familiar in Medicare Advantage.
Universal Medicare in the U.S.: Feasibility, Costs, and Political Context
Analysis of the feasibility, costs, and political dynamics of implementing universal Medicare in the U.S., focusing on insurance costs, coverage expansion, and potential tax structures.