51+ min ago   (441+ words) As many as 10 million people could lose Medicaid coverage because their work hours may be insufficient or inconsistent under incoming national work requirements, a new study suggests. Researchers at Boston University estimate that 20% of Medicaid-eligible adults in expansion states may…...

2+ week, 5+ day ago   (651+ words) Employers that have access to key data on their healthcare spending and costs are more likely to take steps to address affordability and pharmacy benefit transparency, a new survey shows. The National Alliance of Healthcare Purchaser Coalitions polled 408 employers, ranging…...

1+ mon, 2+ week ago   (492+ words) Industry giant UnitedHealthcare is adding its voice to the chorus of insurers criticizing the current state of the No Surprises Act's independent dispute resolution process. During the company's earnings call on Thursday morning, company executives pointed to IDR as a…...

1+ mon, 2+ week ago   (368+ words) Outpatient drug purchases under the 340B Drug Pricing Program crossed the $100 billion mark across 2025, a roughly 23% increase over the $81.4 billion of 2024, the Health Resources & Services Administration (HRSA) reported this week. The tally is another escalation in scale for the controversial subsidy…...

1+ mon, 3+ week ago   (355+ words) Add Memorial Hermann to the list of health systems winding down their insurance arms “in light of the sustained headwinds facing the health insurance industry.” The southeast Texas system’s insurance subsidiary, Memorial Hermann Health Plan, has informed brokers, employers and…...

2+ mon, 6+ day ago   (1081+ words) Sen. Ron Wyden and 14 Democratic co-sponsors plan to introduce legislation Thursday to cap consumers’ potential out-of-pocket costs in traditional Medicare, resurfacing a long-running debate over why the program doesn’t limit beneficiary spending. Even the bill’s backers say securing passage this…...

2+ mon, 1+ week ago   (429+ words) Michigan hospitals are pushing back on a state bill that would impose new requirements on their pricing, market position and potential dealmaking. The potential restrictions, split across three separate bills, were introduced last week by Michigan House Speaker Matt Hall…...

2+ mon, 3+ week ago   (641+ words) As healthcare costs continue to rise, smaller businesses are particularly vulnerable to the pressure, according to a new Morgan Health report. For example, among employers with 50 or fewer employees, 30% said that healthcare costs are worsening their business situation, compared to…...

3+ mon, 2+ day ago   (319+ words) UnitedHealthcare is set to eliminate close to two-thirds of pediatric prior authorization requirements by the end of the year. The insurance giant announced Friday morning that it will nix prior auth on an array of diagnostic tests, routine surgeries and…...

3+ mon, 2+ week ago   (375+ words) A slew of provider and tech organizations have signed on to the Centers for Medicare and Medicaid Services’ push for the healthcare industry to streamline prior authorization, a transition the agency said will smooth out the bumps of a widely…...