Policies & Regulations

New Law Ties Medicaid Coverage to Work Requirements
Management & Administration New Law Ties Medicaid Coverage to Work Requirements

A sweeping federal law enacted in 2025 is poised to fundamentally reshape the landscape of public health insurance, establishing for the first time a national work and community engagement requirement for most adult Medicaid beneficiaries. This policy, officially a component of the One Big

HHS Drops 340B Rebate Pilot After Hospital Lawsuit
Management & Administration HHS Drops 340B Rebate Pilot After Hospital Lawsuit

A contentious federal pilot program designed to overhaul how safety-net hospitals are compensated for prescription drugs has been abruptly withdrawn by the Department of Health and Human Services (HHS) following a decisive legal challenge. The proposed 340B Rebate Model Pilot, which was set to

UnitedHealth Navigates a Major Regulatory Storm
Management & Administration UnitedHealth Navigates a Major Regulatory Storm

After years of aggressive expansion that reshaped the American healthcare landscape, UnitedHealth Group now finds itself at a critical inflection point, navigating an unprecedented storm of federal regulatory scrutiny that directly challenges its core business model. The healthcare titan, a mature

How Is Aledade Driving the Value-Based Care Revolution?
Management & Administration How Is Aledade Driving the Value-Based Care Revolution?

A dramatic transformation is underway within the American healthcare landscape, as the long-dominant fee-for-service model gives way to a system that rewards quality of care over quantity of procedures. At the forefront of this movement is Aledade, a company that has rapidly become a central force

Is a Financial Crisis Hitting U.S. Hospitals?
Management & Administration Is a Financial Crisis Hitting U.S. Hospitals?

A significant and unsettling trend is emerging from the heart of the American healthcare system, with major institutions like Houston's Memorial Hermann Health System now offering voluntary buyouts to its non-clinical employees. This move by one of the city's largest employers is not an isolated

Medicare ACO Program Hits Record Growth and Savings
Management & Administration Medicare ACO Program Hits Record Growth and Savings

A strategic shift in healthcare delivery is gaining unprecedented momentum, with a record-breaking 14.3 million seniors now receiving care through Medicare's coordinated networks, marking a significant 4.4% increase from the previous year. This expansion is not merely about numbers; it represents a

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