Insurance

Health DG Slams Insurers for Meddling in Clinical Decisions
Management & Administration Health DG Slams Insurers for Meddling in Clinical Decisions

In a striking development that has sent ripples through Malaysia's healthcare sector, Dr. Mahathar Abd Wahab, the Health Director-General, has issued a powerful reprimand to health insurers and third-party administrators for overstepping into the realm of clinical decision-making, highlighting a

Expiring Tax Credits Threaten to Double Health Costs in Valley
Management & Administration Expiring Tax Credits Threaten to Double Health Costs in Valley

In the heart of California's San Joaquin Valley, a financial storm is brewing for nearly 185,000 lower-income residents who rely on enhanced tax credits to afford health insurance through Covered California, and these subsidies, introduced as part of COVID-era relief legislation, have been a

Will Federal Shutdown Raise Colorado Health Insurance Costs?
Management & Administration Will Federal Shutdown Raise Colorado Health Insurance Costs?

As the federal government grapples with a recent shutdown, Coloradans are bracing for a potential surge in health insurance costs that could reshape affordability across the state, threatening the financial stability of many families. At the center of this crisis are the Enhanced Premium Tax

Rethinking Cheap Healthcare for Quality and Sustainability
Management & Administration Rethinking Cheap Healthcare for Quality and Sustainability

In a world where healthcare costs are spiraling out of control, the temptation to prioritize affordability over all else often overshadows critical concerns about quality and long-term viability, creating a pressing need for balance. This dilemma is particularly evident in systems like Malaysia's,

How Are Rising Costs Threatening Medicaid in Connecticut?
Management & Administration How Are Rising Costs Threatening Medicaid in Connecticut?

Connecticut’s Medicaid program, widely recognized as HUSKY, stands at a precarious crossroads as it confronts unprecedented financial pressures that jeopardize its ability to serve nearly 926,700 low-income residents, including children, families, and individuals requiring long-term care. As one of

CMS Issues New Caps on Medicaid State-Directed Payments
Management & Administration CMS Issues New Caps on Medicaid State-Directed Payments

The Centers for Medicare & Medicaid Services (CMS) has unveiled a significant policy shift with its guidance released on September 9, 2025, imposing federal caps on state-directed Medicaid payments, which channel supplemental funds to healthcare providers through managed care contracts with private

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