Provider taxes help states leverage federal Medicaid funds to expand coverage and support provider payments, but face potential cuts in Congress amid Medicaid budget debates.
Michigan faces potential $2 billion annual Medicaid funding cuts that could impact healthcare services, rural hospitals, and state budget priorities amid federal budget reductions.
Centene's Q1 2025 earnings reveal challenges from potential Medicaid cuts, ACA subsidy expiration, and CMS rules, impacting pricing and enrollment in U.S. health insurance markets.
Medicare Advantage programs increase government spending by $84 billion annually due to payment structures and upcoding, impacting Medicare's fiscal sustainability.
Spine surgeons adapt to evolving federal healthcare policies including Medicare reimbursement cuts and the CMS TEAM Model, affecting practice operations and care delivery.
Q1 earnings reports from major U.S. health insurers reveal volatile market dynamics driven by Medicare Advantage payment changes and diverse strategic challenges. Insight into implications for providers, payers, and policy.
Molina Healthcare reports higher medical loss ratios and ACA membership growth amid Medicaid rate adjustments and regulatory challenges in Q1 results. Upcoming 2025 guidance reflects cautious optimism.
CMS's 2026 Final Rule implements the Medicare Drug Price Negotiation Program with the Medicare Transaction Facilitator, affecting Part D drug pricing and pharmacy reimbursement processes.
Explore how a cyberattack on Change Healthcare led to financial turmoil for physician practices, affecting their billing and loan repayment with Optum Financial.
Explore how UnitedHealth Group leads in Medicare Advantage payments through diagnosing more health conditions, raising concerns in the health insurance sector.
