Policies & Regulations

Why Are ACA Health Insurance Rates Skyrocketing in MO and KS?
Management & Administration Why Are ACA Health Insurance Rates Skyrocketing in MO and KS?

For residents of Missouri and Kansas who depend on the Affordable Care Act (ACA) marketplace for health insurance, a harsh reality looms on the horizon with premium rates poised to surge dramatically in 2026, marking the steepest increase since 2018. This escalation threatens to impact over 617,000

LCMC Health Braces for Medicaid Cuts with Bold Strategies
Management & Administration LCMC Health Braces for Medicaid Cuts with Bold Strategies

In the heart of New Orleans, a critical challenge looms over LCMC Health, a safety-net nonprofit hospital system serving as a lifeline for many vulnerable patients, as it grapples with the fallout from significant Medicaid cuts following the recent passage of the One Big Beautiful Bill Act. With

How Is Group Insurance Evolving for Sustainability?
Management & Administration How Is Group Insurance Evolving for Sustainability?

In an era where healthcare and insurance costs continue to climb, group insurance programs face mounting pressure to balance generous benefits with long-term financial stability, prompting urgent discussions among key stakeholders. Recent conversations reveal a growing need to adapt these programs

How Is Kaiser Permanente Boosting Revenue Amid Challenges?
Management & Administration How Is Kaiser Permanente Boosting Revenue Amid Challenges?

In the ever-evolving landscape of healthcare, where financial stability often collides with systemic hurdles, Kaiser Permanente stands out with a remarkable performance that has caught the attention of industry watchers. Amid rising costs, policy shifts, and changing patient needs, this healthcare

Medicaid Cuts Threaten Healthcare and Investor Portfolios
Management & Administration Medicaid Cuts Threaten Healthcare and Investor Portfolios

The passage of the One Big Beautiful Bill Act (OBBB Act) on July 4 of this year has unleashed a seismic shift in the U.S. healthcare landscape, promising federal savings of $326 billion over the next decade while introducing severe Medicaid work requirements that could reshape the system. This

How Is Prior Authorization Evolving in Medicaid Programs?
Management & Administration How Is Prior Authorization Evolving in Medicaid Programs?

In the complex landscape of healthcare access, prior authorization (PA) within Medicaid programs stands as a critical yet contentious mechanism, often blamed for delaying essential care for millions of enrollees. A recent analysis by leading health policy organizations sheds light on the evolving

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