Tag: Health Systems

Delaware Enacts Healthcare Initiatives to Enhance Access and Infrastructures

Delaware's new healthcare initiatives improve access, support primary care investment, and regulate hospital acquisitions, enhancing the state's healthcare framework.

Key Updates in U.S. Healthcare Regulations and Innovations

Explore critical updates in U.S. healthcare regulations, insurance market dynamics, and innovations in patient care including AI and new billing practices

Reevaluating Certificate of Need Laws to Improve Healthcare Competition

Explore the impact of Certificate of Need laws on healthcare costs and competition, as states debate reforms to enhance access and affordability in healthcare.

Strategic Financial Management in Healthcare: Navigating 2026 Challenges

Explore how healthcare CFOs are navigating financial challenges ahead of 2026 with innovation, strategic focus, and collaboration in the industry.

Medicare Telehealth Use Substitutes Rather than Adds to Care, Analysis Finds

New analysis of 1.67M Medicare beneficiaries shows telehealth primarily substitutes in-person visits, stabilizing overall utilization. Key insights for policy and healthcare delivery.

MultiCare to Exclude Certain Medicare Advantage PPO Plans in 2026

Starting in 2026, MultiCare will no longer accept certain Medicare Advantage PPO plans, impacting access for some seniors. The shift focuses on HMO plans for better care coordination during Medicare open enrollment.

CMS Proposes Medicare Advantage Star Ratings Overhaul, Amid Legal and Operational Updates

CMS proposes to revamp Medicare Advantage Star Ratings, affecting insurer compliance and operations. Legal appeals and health system updates also impact the US market.

Medicare Physician Payments Drop Over 33% Since 2016, Threatening Access and Sustainability

Physician incomes from Medicare have fallen over 33% since 2016 due to stagnant reimbursements and increased costs, prompting health systems to reconsider Medicare Advantage participation. This shift threatens patient access and could reshape Medicare's physician landscape.

Growing Network of U.S. Health System-Owned Insurance Plans Enhances Integrated Care

An overview of expanding health system-owned insurance plans across the U.S. highlighting integrated care, diverse product offerings, and enhanced provider networks.

New Federal Bill Could Reduce Medicaid and ACA Enrollment by Millions

The recent One Big Beautiful Bill Act is projected to decrease enrollment in Medicaid and the Affordable Care Act by 11.8 million, impacting health coverage and patient insurance eligibility across key health systems.