Payer Systems

Oregon's Bold Push for Universal Health Care in the U.S.
Management & Administration Oregon's Bold Push for Universal Health Care in the U.S.

In a nation where health care remains a divisive and often inaccessible necessity for millions of people, Oregon has emerged as a daring pioneer with a visionary plan to establish a universal, single-payer health care system that could transform lives. This ambitious endeavor, ignited by a 2022

France's Universal Healthcare: A Model of Equity and Access
Management & Administration France's Universal Healthcare: A Model of Equity and Access

France’s healthcare system is often celebrated as a global standard for fairness and accessibility, offering a compelling example of how universal coverage can transform public health outcomes while achieving impressive metrics. With a life expectancy of around 82 years—several years higher than in

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

How Can Care Navigation Transform Oncology Support?
Management & Administration How Can Care Navigation Transform Oncology Support?

Fixed version: In the intricate and often overwhelming world of cancer treatment, patients frequently find themselves lost in a labyrinth of medical decisions, emotional turmoil, and financial strain, yearning for a guiding hand to lead them through the chaos. Care navigation in oncology emerges as

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

Medicare Scam Alert: Hang Up on Suspicious Calls Now
Management & Administration Medicare Scam Alert: Hang Up on Suspicious Calls Now

Imagine picking up the phone during the busy fall season, only to hear a polished voice claiming to represent Medicare with an urgent update about your coverage or a tempting offer for free medical supplies. For many seniors and beneficiaries, this scenario is all too common, marking the start of a

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