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News
More states outsource Medicaid coverage of long-term services
5+ day, 21+ hour ago (36+ words) Modern Healthcare More states outsource Medicaid coverage of long-term services The Institute for Digital Healthcare Transformation aims to speed the development of digital health tools for underserved communities....
How a new federal policy shifts critical access hospital reviews
1+ week, 4+ day ago (39+ words) Modern Healthcare How a new federal policy shifts critical access hospital reviews No Surprises Act arbitrators don't rule alike, and some side with providers far more often than others....
UnitedHealthcare cuts hundreds of prior authorization requirements
1+ week, 5+ day ago (29+ words) Modern Healthcare UnitedHealthcare cuts hundreds of prior authorization requirements UnitedHealthcare is targeting a 30% reduction in prior authorization volume by year's end....
Highmark Health’s insurance unit powers first-half turnaround
2+ week, 6+ day ago (17+ words) Modern Healthcare Highmark Healthâs insurance unit powers first-half turnaround...
Centene to cut some Medicare Advantage plans, exit 3 states
3+ week, 3+ day ago (44+ words) Modern Healthcare Centene to cut some Medicare Advantage plans, exit 3 states The meeting gave a look into the EHR vendor's research and development roadmap as Epic faces leadership change and reported antitrust scrutiny....
How hospital-at-home programs can be built to last
3+ week, 3+ day ago (40+ words) Modern Healthcare How hospital-at-home programs can be built to last The meeting gave a look into the EHR vendor's research and development roadmap as Epic faces leadership change and reported antitrust scrutiny....
Why this hospital-affiliated insurer is expanding as others reel
3+ week, 4+ day ago (60+ words) Modern Healthcare Why this hospital-affiliated insurer is expanding as others reel Many health system-owned insurance companies are retreating from the health insurance exchanges. Peak Health is jumping in. At its annual user meeting, Epic announced a new AI outpatient tool…...
Scan Health Plan, Costco team up on Medicare plans
3+ week, 5+ day ago (41+ words) Modern Healthcare Scan Health Plan, Costco team up on Medicare plans The 2026 Modern Healthcare Hospital Systems Survey shows hospitals are preparing for an increase in uncompensated care amid federal policy changes....
What the Medicare Advantage rebound signals for 2027
3+ week, 5+ day ago (36+ words) Modern Healthcare What the Medicare Advantage rebound signals for 2027 Major Medicare Advantage insurers' recovery accelerated in the second quarter after companies posted lower medical costs than expected....
Aetna cuts Medicare Advantage commissions for 2027 sales
3+ week, 6+ day ago (31+ words) modernhealthcare.com Aetna cuts Medicare Advantage commissions for 2027 sales Medicare Advantage carriers continue to take a cautious approach to enrollment amid high costs....