Managed Care

Medicare Rate Proposal Sparks Health Insurer Sell-Off
Management & Administration Medicare Rate Proposal Sparks Health Insurer Sell-Off

A shockwave tore through the managed-care sector as a U.S. government proposal for 2027 Medicare Advantage payment rates ignited a firestorm of investor concern, leading to a significant sell-off of health insurer stocks. The tremors were felt most acutely at UnitedHealth Group, which saw its

Who Will Guide Interwell's Next Phase of Kidney Care?
Management & Administration Who Will Guide Interwell's Next Phase of Kidney Care?

In the rapidly evolving landscape of healthcare, the management of chronic kidney disease stands as a critical challenge, compelling a systemic shift towards value-based care models that prioritize patient outcomes and cost-efficiency over volume. Interwell Health, a leading national force in this

AI for Healthcare Payers: Augment or Replace?
Management & Administration AI for Healthcare Payers: Augment or Replace?

The immense pressure on healthcare payer organizations to modernize has placed artificial intelligence at the center of a pivotal debate, forcing executives to confront a high-stakes question of strategy. As the market floods with promises of AI-driven transformation, many are tempted by the allure

What Are the Keys to Unlocking COE Value?
Management & Administration What Are the Keys to Unlocking COE Value?

As the landscape of advanced medical therapies continues to expand with groundbreaking but costly treatments, many employers and payers have turned to Centers of Excellence (COEs) to manage complex health conditions. While these specialized facilities promise superior care, simply establishing a

New Law Could Cost Duke Health Hundreds of Millions
Management & Administration New Law Could Cost Duke Health Hundreds of Millions

A new federal law, the "One Big, Beautiful Bill Act" (OBBBA), is poised to deliver a staggering financial blow to the Duke University Health System (DUHS), threatening to unravel years of progress in expanding healthcare access across North Carolina. Through sweeping changes to Medicaid funding and

Why Are You Paying More for Medical Supplies?
Management & Administration Why Are You Paying More for Medical Supplies?

The term "supply chain" was once a piece of business jargon that rarely entered the public consciousness, but in 2026, its fractures are being felt directly in the household budgets of millions of Americans. Widespread inventory volatility, a consequence of geopolitical tensions, persistent raw

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