CVS Health closes 16 Oak Street Health locations citing elevated medical costs and CMS risk model changes, reflecting broader strategic shifts in retail healthcare amid financial pressures.
Community paramedics and post-discharge monitoring reduce hospital readmissions and Medicare penalties, improving patient outcomes and cost efficiency in Minnesota hospitals.
HealthSpring unveils comprehensive Medicare plans for 2026, featuring enhanced benefits, chronic condition support, and expansive coverage in 29 states and DC. Enrollment opens October 15.
Blue Cross Blue Shield to discontinue Vermont Medicare Advantage plans next year after substantial financial losses, impacting 30,000 Vermonters and requiring plan changes.
The American Hospital Association urges CMS and HHS to enforce prior authorization reforms to reduce hospital staff workload and patient delays, emphasizing implementation of electronic standards and monitoring compliance.
Understand critical Medicare enrollment periods, penalties, and coverage options to inform insurance professionals and advisors guiding clients through retirement healthcare transitions.
Proposed 2026 federal budget cuts risk over $120M in support to Pittsburgh’s public health, housing, and social services, including elimination of key grants and ACA premium tax credits.
States like North Carolina and Idaho are reducing Medicaid provider payments due to budget shortfalls, risking healthcare access for vulnerable populations and straining provider networks.
Johns Hopkins Medicine ends contract negotiations with UnitedHealthcare after eight months amid disputes over treatment refusal language in employer-based insurance plans. Highlights payer-provider tensions over network participation and patient access.
Funding cuts and staffing reductions imperil the World Trade Center Health Program, risking care for 9/11 survivors and responders. Congressional action is critical.
