CBO Report Highlights ACA Fraud; Legislation Targets Subsidy Abuse
CBO analysis reveals 2.3M fraudulent enrollees in ACA, prompting legislative reforms to curb subsidy abuse and enhance federal health program integrity.
CBO analysis reveals 2.3M fraudulent enrollees in ACA, prompting legislative reforms to curb subsidy abuse and enhance federal health program integrity.
Florida Blue and Memorial Healthcare's contract dispute renders 31,000 members out of network in Broward County, impacting access across commercial, ACA, and Medicare Advantage plans amid reimbursement rate disagreements.
Catalyst Solutions completed a rapid 60-day implementation of Professional Health Partners services across Arizona, Oregon, Nevada, and California, enhancing Medicare population health management with scalable, hybrid onshore/offshore support.
MorningStar Laboratories launches SmartVascular Dx test in Western US with expanded payer coverage including BCBS Arizona and Medicare, enhancing vascular disease detection and reimbursement access.
A coalition of nurses' associations urges HHS to maintain the independent operation of the USPSTF, emphasizing its role in shaping preventive health care policies under the ACA and safeguarding evidence-based recommendations.
Study reveals limited insurance coverage for multiple sclerosis drugs increases relapse risk, highlighting Medicare plan disparities and formulary restrictions.
Centene Corporation posts Q2 2025 earnings showing revenue growth but adjusted losses; strategic repricing planned for 2026 amid regulatory and market challenges in healthcare insurance.
Mississippi leaders discuss rising insurance premiums, expiring ACA subsidies, and state fiscal strategies including tax rebates and farm resiliency initiatives at the Neshoba County Fair.
AMA urges HHS to retain the U.S. Preventive Services Task Force members amidst reports of planned dismissals, highlighting the panel's role in guiding evidence-based preventive care covered by insurers. Supreme Court upholds ACA's preventive coverage mandate.
ADP study reveals Gen Z favoring second-tier U.S. cities for jobs in tech, health, and finance sectors, emphasizing AI skills and application trends.