Kevin Deutsch, General Manager and SVP of Health Plan Solutions at Softheon
The upcoming Affordable Care Act (ACA) Open Enrollment (OE) period presents at least three major challenges for health plans: Legislative changes, double-digit premium…
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Overview of Provider Tax Changes
The 2025 reconciliation law introduces sweeping restrictions on Medicaid provider taxes, fundamentally altering how states generate revenue for their Medicaid programs. These changes prohibit states from establishing new provider taxes…
What You Should Know:
– The U.S. healthcare market is showing a stark divergence in cost trends between public and private sectors. While Affordable Care Act (ACA) premiums are spiking well above the industry’s decade-long…
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Dr Nadine Hachach-Haram Founder and CEO of Proximie
Over the past decade, the Center for Medicare & Medicaid Services (CMS) has been steadily reshaping how U.S. healthcare is funded – shifting from a fee-for-service model…
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Vidisha Srikanth, Sr. Product Manager, Practice Management, RXNT
Medicaid is a lifeline for roughly 84.5 million people across the U.S., yet access to that safety net still depends on state lines. Ten states—Alabama, Florida, Georgia,…
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What You Should Know:
– The U.S. healthcare landscape is facing a transformative moment with the signing of H.R. 1, the “One Big Beautiful Bill Act” (OBBBA), into law on July 4. This…
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The Rise of AI-Generated Celebrity Fraud
Deceptive marketing practices have reached alarming new heights with the emergence of sophisticated deepfake technology. Fraudulent actors are now creating AI-generated versions of beloved celebrities like Taylor Swift and…
What You Should Know:
– A new analysis from the Urban Institute, supported by the Robert Wood Johnson Foundation, projects that U.S. healthcare providers could lose more than $770B in revenue over the next decade…
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The Looming Financial Crisis
Hospitals in states that expanded Medicaid eligibility face a potential $80 billion loss in 2026 due to proposed funding cuts under the Trump administration. According to analysis from the Urban Institute…
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What You Should Know:
– A new analysis by the Urban Institute, supported by the Robert Wood Johnson Foundation, reveals that healthcare providers in 41 states that expanded Medicaid eligibility would face significant…
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