CMS has issued a final rule that will end states’ ability to levy provider taxes to generate additional federal Medicaid matching funds, a financing mechanism the agency characterized as a “loophole.” ...

Point32Health — which includes Harvard Pilgrim Health Care and Tufts Health Plan — appointed Marti Lolli as executive vice president, chief growth officer, and Jeff Weiss as executive vice president, ...

Payers are continuing to trim their workforces amid financial pressures, Medicaid funding cuts and strategic restructuring. Below are workforce reduction efforts or job eliminations that were ...

Nearly 23 million people have enrolled in ACA marketplace plans for 2026, down from 24.2 million in 2025, according to the latest data from CMS published Jan. 28. For the 30 HealthCare.gov states, the ...

Payer-provider dynamics have been a persistent struggle in healthcare, particularly evident in heated contract negotiations. AI — such as clinicians using scribes associated with greater coding ...

Sen. Bernie Moreno, R-Ohio, said his party is preparing to make its “best and final offer” to extend the ACA enhanced tax credits, Politico reported Jan. 28. Mr. Moreno has been a lead negotiator in a ...

Ten health technology companies have pledged more than $600 million in no-cost and discounted services to help states implement Medicaid work requirements. According to a Jan. 29 news release from CMS ...

Becker’s connected with 17 health plan leaders to see how their organizations are shifting their priorities in response to continued medical cost trend and affordability concerns. Like what you see ...

Medicare Advantage insurers made almost 53 million prior authorization decisions in 2024, according to a Jan. 28 KFF analysis. KFF relied on insurer data reported to CMS, focusing on service ...

BCBS Arkansas promoted Anne Gardner to chief privacy officer, according to a Jan. 27 news release shared with Becker’s. In the role, which Ms. Gardner stepped into in 2025, she oversees the company’s ...

Medicare Advantage has long been viewed as a strong alternative to traditional Medicare, but the program has “deteriorated significantly” in recent years — benefitting commercial payers at the expense ...

L.A. Care Health Plan has named Rob Geyer as its first chief operating and systems integration officer. Mr. Geyer will be responsible for integrating and aligning the insurer’s information technology, ...