The federal budget reconciliation law passed in July will require Medicaid enrollees in 42 states and the District of Columbia to show they’re working, volunteering,

A recent PwC (Pricewaterhouse Coopers) report noted Behavioral Health (BH) utilization continues to surge. BH claims utilization increased 62.6% between 2018 and 2024 and grew

According to the AMA, Medicare physician payments have declined 33% from 2001 to 2025 when adjusted for inflation in practice costs (MEI). The MEI (Medicare

Healthcare Business Management Association (HBMA) continues to raise concerns about the growing use of payer automatic downcoding policies. Under these policies, payers reimburse CPT codes

According to a report from PwC (Pricewaterhouse Coopers), healthcare spending could reach $9 trillion annually, and comprise 20.6% of gross domestic product by 2035. The

According to an AMA survey for 2025, over 80% of physician respondents currently use AI in a professional context – double the share reported in

Epic Systems made another move earlier this week to advance its artificial intelligence strategy. The large electronic health record vendor officially launched its AI charting

Insurers Aetna, Elevance Health and Humana are facing a civil lawsuit alleging they paid kickbacks to online brokerages for Medicare Advantage enrollments. In a case

New federal data released Friday, June 26 shows ACA Marketplace Enrollment dropped 13% following the expiration of enhanced premium tax credits at the beginning of