News
Homecare Homebase 2026 Report: Medicare Advantage and AI Adoption Drive New Operational Strategy
1+ hour, 59+ min ago (518+ words) A new industry report from Homecare Homebase (HCHB) reveals a paradox at the heart of the sector. While demand is at historic highs11,200 Americans turn 65 every dayaccess to care is shrinking. Referral conversion rates have plummeted 13% since 2018, resulting in 4.2 million individuals…...
Kaiser Permanente Affiliates to Pay $556M to Settle Medicare Advantage Upcoding Allegations
1+ week, 6+ day ago (216+ words) " Kaiser Permanente affiliates have agreed to a $556M settlement to resolve allegations of violating the False Claims Act by submitting invalid diagnosis codes to inflate Medicare Advantage (MA) payments." " The settlement, involving multiple Kaiser Foundation and Permanente Medical Groups, addresses a…...
Why Tegria’s Exit from Providence Reshapes Health IT Outsourcing
3+ week, 1+ day ago (261+ words) " Providence St. Joseph Health has officially offloaded Tegria Services Group to private equity firm Altaris, marking the end of a high-profile experiment in health system-owned IT consulting." " This move decouples Tegria from its non-profit roots, handing the reigns to a…...
The New "Pass/Fail" Test: Why Sovereignty, Not Features, Will Decide Global Health IT Contracts in 2026
4+ week, 21+ hour ago (413+ words) What You Should Know:" " A new 2026 report from Black Book Market Research reveals a decisive shift in global healthcare procurement: digital sovereignty has replaced functionality as the primary "gatekeeper" for international contracts." " Roughly 80% of international health buyers now treat data…...
Surviving the One Big Beautiful Bill Act: Technology Strategies for Safety-Net Providers Facing Medicaid Cuts
1+ mon, 4+ hour ago (337+ words) Financial challenges are not new to healthcare. A perfect storm of converging trends has left many organizations operating within razor-thin margins in recent years." For safety-net providers, the latest financial uncertainties introduced by the One Big Beautiful Bill Act present…...
Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs
3+ mon, 3+ week ago (215+ words) What You Should Know:" " Pfizer Inc. has announced a historic agreement with the Trump Administration that is designed to ensure U.S. patients pay lower prices for their prescription medicines while strengthening America's role as the global leader in biopharmaceutical innovation." " The…...
Preparing for the ‘Big Beautiful Bill’: How Digitization Can Streamline Medicaid Eligibility & Social Care Delivery
5+ mon, 2+ day ago (484+ words) According to the Congressional Budget Office, some 7.8 million people are projected to lose Medicaid coverage, which will add nearly 11 million more people to the roster of uninsured Americans by 2034. In addition, a reduction in federal Medicaid funding over the next…...
US Medical Cost Trend to Remain Elevated at 8.5% in 2026
6+ mon, 1+ week ago (320+ words) What You Should Know: " The U.S. healthcare system is entering 2026 with medical cost trends reminiscent of 15 years ago, facing persistent inflationary forces and significant federal policy changes, according to a" new report from PwC." " The report, "Medical Cost Trend: Behind the…...
No Surprises Act and the Challenges for Payors with Provider Data Inaccuracies
6+ mon, 1+ week ago (514+ words) The reality is that inaccurate provider data now carries significant financial, legal, and reputational risks. Health plans must verify and update provider information at least every 90 days, promptly remove unverified providers, and reflect updates within two business days." In short,…...