Payer Systems

Should Food Be a Primary Health Benefit in Medicare?
Management & Administration Should Food Be a Primary Health Benefit in Medicare?

Healthcare policy experts and industry leaders are now advocating for a fundamental transformation in how the Centers for Medicare and Medicaid Services (CMS) perceives the relationship between nutrition and medical insurance. Instead of viewing food assistance as a reactive social service reserved

Advanced Primary Care Can Help Employers Control Rising Costs
Management & Administration Advanced Primary Care Can Help Employers Control Rising Costs

The financial landscape for employer-sponsored health insurance is currently facing a massive upheaval as projections indicate a staggering nine percent increase in total medical expenses throughout 2026, forcing executives to reconsider traditional benefit structures. This surge is largely

Can UnitedHealth Control Costs Without Prior Authorization?
Management & Administration Can UnitedHealth Control Costs Without Prior Authorization?

The traditional framework of healthcare administration is undergoing a fundamental transformation as UnitedHealth Group moves to dismantle long-standing barriers that have historically defined the relationship between insurers and providers. By initiating a sweeping plan to eliminate prior

RFK Jr. Overhauls Hospital Food Standards Under HHS Mandate
Management & Administration RFK Jr. Overhauls Hospital Food Standards Under HHS Mandate

For decades, the stereotypical image of hospital food has revolved around lukewarm trays of gelatin and mystery meat, but a radical policy shift is now transforming these trays into a central battleground for federal health compliance. Under the direction of Secretary Robert F. Kennedy Jr., the

Why Is CVS Health Raising Its 2026 Profit Forecast?
Management & Administration Why Is CVS Health Raising Its 2026 Profit Forecast?

CVS Health’s recent upward revision of its financial expectations marks a significant turning point for a healthcare giant that spent much of the past two years navigating leadership transitions and volatile market conditions. Following a stellar first-quarter performance that exceeded Wall Street

AMCP Sets 2026 Strategy for Drug Pricing and Medicaid Reform
Management & Administration AMCP Sets 2026 Strategy for Drug Pricing and Medicaid Reform

The intersection of pharmaceutical innovation and administrative policy is currently being reshaped by the Academy of Managed Care Pharmacy as the first quarter of the 119th Congress unfolds. Representing a specialized coalition of clinical pharmacists and professionals within health plans and

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