Tag: payer strategy

U.S. Initiatives to Reduce Costs of GLP-1 Obesity Drugs Affect Medicare and Medicaid Coverage in 2026

In 2026, U.S. agreements lower costs of GLP-1 drugs for obesity and diabetes, impacting Medicare and Medicaid coverage with a focus on starter dose affordability and access limitations.

Aveanna Healthcare Advances Home-Based Care with Strategic Acquisitions, AI, and Payer Partnerships

Aveanna Healthcare accelerates growth in home-based care through the acquisition of Thrive Skilled Pediatric Care, enhanced AI integration, and deep payer partnerships amid regulatory changes.

Medicare Advantage Faces Cost and Regulatory Challenges in 2025

In 2025, Medicare Advantage insurers faced rising medical costs, regulatory challenges, and increased AI integration, leading to strategic service adjustments and market exits.

Value-Based Payment Models Enhance Clinical Outcomes in Medicare Advantage

Study shows value-based payment models with two-sided risk improve clinical quality outcomes for Medicare Advantage beneficiaries compared to fee-for-service.