Blue Shield of California has announced a collaboration with booking platform Zocdoc to allow members to schedule in-network, in-person and virtual care appointments directly on the nonprofit health plan’s online member portal.
Blue Shield members can …
Rural hospitals would take an outsize hit from Republicans’ proposed cuts to Medicaid and other federal health programs. Researchers say the financial erosion would trigger hospital closures and service cuts, especially in communities where large shares of patients are enrolled in Medicaid.
Rural hospitals would take an outsize hit from Republicans’ proposed cuts to Medicaid and other federal health programs. Researchers say the financial erosion would trigger hospital closures and service cuts, especially in communities where large shares of patients are enrolled in Medicaid.
Federal spending on the Medicare Advantage quality bonus program has more than quadrupled since 2015, rising to at least $12.7 billion in 2025. Most Medicare Advantage enrollees are in a plan that receives a bonus payment in 2025, with employer- and un…
Healthcare organizations are embracing the promise of generative AI to ease workforce shortages and reduce administrative burdens–but many remain unprepared to implement the technology at scale.
On May 22, 2025, the U.S. House of Representatives passed a budget reconciliation bill that includes significant reductions in federal Medicaid spending to help offset the cost of tax cuts, along with changes to the Affordable Care Act (ACA), immigrati…
Over the last 20 years, much of drug manufacturing has shifted overseas, according to Johns Hopkins experts. But the work is not going to countries where the cost of labor is less than in the United States.
It’s being shifted to high income countries …
Prescription drug platform GoodRx has launched GoodRx Community Link, which uses a cost-plus pricing model based on National Average Drug Acquisition Cost to provide predictable pricing, and which allows independent pharmacies to contract with them dir…
The vast majority of improper payments stem from documentation mistakes and do not fit the definition of waste, fraud, or abuse. They also typically stem from health care providers’ actions, not beneficiaries’ abuse.
The combination of the House-passed spending and tax bill and the Trump administration’s regulatory action could change Affordable Care Act enrollment and the cost of insurance. The result, according to the Congressional Budget Office, is that millions of people may become uninsured.
