Analysis of federal Medicaid spending caps shows potential $246B cost shift to states and coverage losses up to 20 million under ACA expansion.

Congress plans up to $880 billion federal cuts impacting Medicaid expansion; coverage and state spending effects analyzed.

Examining fraud in U.S. Medicare and Medicaid: shifting focus from patient eligibility to provider and insurer fraudulent practices amid congressional budget cuts and regulatory challenges.

Explore how Agentic AI is revolutionizing healthcare operations by reducing administrative burdens and enhancing real-time decision-making across U.S. health plans and providers, amid rising costs and regulatory pressures.

Proposed Medicaid budget cuts totaling $880 billion over a decade could reduce coverage for 11 million Americans and strain state health budgets, impacting rural hospitals and long-term care services.

CMS intensifies efforts to detect and prevent healthcare fraud, waste, and abuse in Medicare and Medicaid programs, encouraging stakeholder reporting to safeguard taxpayer funds.

Centene reports Q1 2025 financials highlighting 17% revenue growth, expanding membership to 27.9 million, and maintaining strong earnings outlook.

Pennsylvania Health Care Association and SEIU Healthcare PA collaborate to advocate for increased Medicaid and Medicare nursing home funding, addressing reimbursement and staffing challenges in long-term care facilities.

Explore how proposed Medicaid cuts and new legislative measures in Iowa impact healthcare, insurance claims, and regulatory compliance amid recent severe weather events.

The Johns Hopkins ACG System is a leading population health analytics tool used globally to improve care for over 250 million people weekly, integrating clinical and social data to advance health equity and risk adjustment.