Policies & Regulations

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

Fourth Circuit Upholds $9.3M Verdict on Nurse Misclassification
Management & Administration Fourth Circuit Upholds $9.3M Verdict on Nurse Misclassification

In a landmark decision that has sent ripples through the staffing industry, a federal appeals court has affirmed a staggering $9.3 million verdict against a Virginia-based medical staffing firm for misclassifying over a thousand nurses as independent contractors instead of employees. This ruling,

Young Americans Fear Turning 26: Insurance Crisis Looms
Management & Administration Young Americans Fear Turning 26: Insurance Crisis Looms

For countless young Americans, reaching the age of 26 is not just a milestone marking the journey into full adulthood, but a moment filled with apprehension and uncertainty due to a critical shift in health insurance coverage. This significant birthday signals the end of eligibility to remain on a

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