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Healthcare organizations need to increase revenue while cutting expenses and find ways to personalize the patient experience.
CCA insures nearly 50,000 Massachusetts residents who are dually eligible for Medicare and Medicaid.
House GOP members are demanding cuts of at least $1.5 billion in federal spending, but Senate Republicans are divided.
Starting Jan. 1, 2026, payers must send prior authorization decisions within 7 days and expedited decisions within 72 hours.
Northwell will become a 28-hospital system after integrating seven Nuvance hospitals in Connecticut and New York.
Any regulatory response to nursing home "deficiencies" must be consistent with legislation governing nursing homes, ruling says.
Declining physician payments and rising operational costs place emergency medicine at financial risk, RAND finds.
This translates to $25 billion for MA insurers in 2026.
While the current climate is putting a "chill" on healthcare decision-making, hospital volumes and operating margins remain steady.
The quality of payers' digital experiences is lagging behind those of finance and property and casualty insurance, finds J.D. Power.