Category: Health Insurance

CareSource finalizes Commonwealth Care Alliance Acquisition

Nonprofit managed care organization CareSource has finalized its acquisition of Commonwealth Care Alliance (CCA), a nonprofit healthcare services organization that offers health plans and care delivery programs designed for people with pressing health …

CMS signals cutting future Medicaid demonstration programs

The Centers for Medicare and Medicaid Services has signaled plans to make cuts to the Medicaid program, saying it wants to put an end to “mounting expenditures,” such as housekeeping for non-Medicaid-eligible individuals, and high-speed internet for ru…

Many payers, providers unprepared for interoperability and prior authorization rule, WEDI finds

More than half of providers and 43% of payers have yet to start work on the application programming interface requirements of the interoperability and prior authorization final rule, according to a survey by the Workgroup for Electronic Data Interchange.

KFF Health News’ ‘What the Health?’: The Dismantling of HHS

A week into the reorganization of the Department of Health and Human Services announced by Secretary Robert F. Kennedy Jr., the scope of the staff cuts and program cutbacks is starting to become clear. Among the biggest targets for reductions were the nation’s premier public health agencies: the Centers for Disease Control and Prevention, the […]

Northwell, Nuvance receive final merger approval

Northwell Health and Nuvance Health’s roughly $18 billion proposed merger, which has been in the works since last year, has received final regulatory approval from the Connecticut Office of Health Strategy, the organizations announced this week.

Nursing home staffing mandate struck down in Texas court ruling

A federal judge in Texas has blocked a nursing home staffing rule mandated by the Biden administration last year.

Tax Time Triggers Fraud Alarms for Some Obamacare Enrollees

Consumers who were enrolled fraudulently in Affordable Care Act coverage could receive unexpected tax bills — the first and possibly only clue they were a victim of fraud. Getting help may become difficult as federal workers are laid off and funding for assistance programs is cut.

Rising demand challenging emergency departments

Emergency physicians across the U.S. are facing increasing financial and operational pressures that are threatening their ability to provide care, according to a new report authored by RAND and supported by the Emergency Medicine Policy Institute (EMPI).

Medicare Advantage plans get a 5% payment increase

Medicare Advantage plans are getting a 5% payment increase, which is above the anticipated 4.3% released in the Advance Notice.
The Centers for Medicare and Medicaid Services issued the rate announcement this week as part of the Medicare Advantage Part…

Hospital merger and acquisition deals dip amid economic uncertainty

Mergers and acquisitions in Q1 reflect market volatility and economic uncertainty surrounding tariffs and potential policy changes from the new administration, according to a Kaufman Hall Mergers and Acquisitions Quarterly Activity Report.