Policies & Regulations

Why Is CareOregon Limiting Out-of-Network Mental Health Care?
Management & Administration Why Is CareOregon Limiting Out-of-Network Mental Health Care?

In a healthcare landscape increasingly defined by rising costs and funding uncertainties, a significant policy shift by CareOregon, a Portland, Oregon-based nonprofit managed care organization, has sparked attention and concern among its members and industry observers. This nonprofit, the largest

How Is Chicopee Tackling Rising Health Insurance Costs?
Management & Administration How Is Chicopee Tackling Rising Health Insurance Costs?

In the heart of Massachusetts, the city of Chicopee finds itself grappling with a challenge that resonates across the nation: the relentless rise in health insurance costs, which burden both municipal budgets and residents. During a recent special City Council meeting held in a crowded City Hall

How Will EU's New Rules Impact Digital Health Innovation?
Management & Administration How Will EU's New Rules Impact Digital Health Innovation?

The European Union has taken a bold step forward in regulating the rapidly evolving field of digital health, a move that could reshape the landscape for app developers, AI innovators, and healthcare providers across the region. With an explosion of health apps, wearables, and artificial

CMS Partners with Tech Firms for New Health Data Ecosystem
Management & Administration CMS Partners with Tech Firms for New Health Data Ecosystem

In a landmark effort to transform the landscape of healthcare data management, the U.S. Centers for Medicare & Medicaid Services (CMS) has launched an innovative federal Health Technology Ecosystem, as announced by President Donald Trump at the White House. This bold initiative seeks to overhaul

How Are Employers Tackling Rising Specialty Drug Costs?
Management & Administration How Are Employers Tackling Rising Specialty Drug Costs?

The escalating expense of specialty drugs, critical for treating complex conditions such as cancer and rare diseases, has emerged as a pressing issue for employers and health plans across the healthcare landscape, demanding urgent and innovative solutions. With these medications accounting for a

Is Proactive Compliance Key for HCBS Industry Success?
Management & Administration Is Proactive Compliance Key for HCBS Industry Success?

As the home- and community-based services (HCBS) industry faces the ongoing challenges of shrinking profit margins and heightened regulatory demands, a paradigm shift is occurring in how providers approach compliance. No longer is compliance viewed merely as a box-ticking exercise; instead, it is

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