NEWS

CMS's proposed 0.09% payment increase and chart review crackdown signals a seismic shift in Medicare Advantage economics that will separate operationally excellent insurers from those reliant on aggressive coding strategies.

What happens when federal mandates meet tight deadlines and limited state budgets? The U.S. Centers for Medicare and Medicaid Services (CMS) just provided an answer that could reshape how Medicaid enrollment systems operate nationwide. Key Takeaways: Major tech firms including Optum, Deloitte, and Maximus are offering free or discounted Medicaid work requirement implementation services through 2028, but "free" may come with hidden long-term costs States face a January 2027 de

What if the future of health care brand authority isn't built on hospital rankings or insurance network size, but on whether an AI model recommends you first? That's not a hypothetical anymore. It's happening right now. Key Takeaways Discovery —AI-powered search is fundamentally changing how patients find health care providers, with 58% of consumers using generative AI for recommendations in 2025. Trust dynamics —While 79% of health care professionals believe that AI improves