Payer Systems

Kentucky Redefines Inmate Medical Care Costs to Ease County Burden
Management & Administration Kentucky Redefines Inmate Medical Care Costs to Ease County Burden

The fiscal strain on local budgets due to rising incarceration costs has reached a critical juncture in the Commonwealth. New administrative rules effective as of August 17 establish a clear distinction between the minor healthcare services counties must pay for and the expensive treatments the

Alabama Education Health Plan Faces $222 Million Shortfall
Management & Administration Alabama Education Health Plan Faces $222 Million Shortfall

A $222 million funding gap is threatening to force difficult choices regarding the healthcare benefits provided to Alabama’s teachers and retirees. The Public Education Employees’ Health Insurance Plan (PEEHIP) of Alabama is currently navigating a precarious financial landscape, characterized by a

The Gap Between Medical Necessity and Insurance Coverage
Management & Administration The Gap Between Medical Necessity and Insurance Coverage

While actress Olivia Munn’s experience highlighted the life-saving potential of breast MRIs, many women find these critical scans are not covered by standard preventive care benefits. The American healthcare system often presents a jarring disconnect between what a doctor deems medically necessary

Alan Enters African Healthtech With Acquisition of Tanel
Tech & Innovation Alan Enters African Healthtech With Acquisition of Tanel

Tanel’s four-year journey from a startup founded in 2021 to a global acquisition highlight the high demand for digitized health coverage management in emerging markets. This milestone transaction, finalized in late 2026, represents the strategic entry of Alan, a prominent leader in the European

Can Alabama Fund the Rising Costs of Teacher Healthcare?
Management & Administration Can Alabama Fund the Rising Costs of Teacher Healthcare?

The ongoing dispute between PEEHIP officials and state lawmakers has reached a stalemate as the program faces a massive budget shortfall for the upcoming fiscal year. This financial impasse underscores a growing concern regarding the sustainability of the Public Education Employees' Health

The Rise of AI Triage and Digital Front Doors in Europe
Management & Administration The Rise of AI Triage and Digital Front Doors in Europe

The transition from passive digital tools to sophisticated clinical reasoning engines represents a critical evolution in how European healthcare services are delivered to patients. This structural transformation is being accelerated by the urgent need to address systemic pressures, including a

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