The Business Group on Health’s new trends report warns that rising healthcare costs will be a major challenge in 2026, prompting employers to adopt innovative strategies to manage expenses.
Experts emphasized that getting digital mental health support to underserved youth requires community partnerships, culturally tailored approaches, peer outreach and equitable access.
Greenway Health blends smart technology with human expertise to elevate revenue cycle.
If HSAs and FSAs were functioning as originally intended, the rising out-of-pocket costs faced by most Americans would be met with increased financial fluency and agency.
Behavioral health needs a clearer definition of quality care, which may require policy action, according to Dr. Taft Parsons of CVS Health.
November has seen a slew of executive hires, promotions and layoffs across the healthcare industry. For instance, the Joint Commission, Silicon Valley Bank and Regard named new executives. There were also layoffs at organizations including Oak Street Health, Providence and Optum.
Thirteen House Democrats introduced eight bills to rein in Medicare Advantage and bolster traditional Medicare.
Alan Murray on improving access for medical transportation.
A new report from Imagine360 makes the case that when it comes to healthcare from self-insured employers, the focus should be more on affordability and less on escalating healthcare costs.
The Trump administration’s new deal lowers prices and expands access to GLP-1 drugs, but experts argue far broader reforms are needed to address high prescription drug costs overall.
Blue Shield of California Promise Health Plan has launched a program that gives eligible new parents in San Diego County baby supplies and incentives to support postpartum and infant care.
Recent advances in generative AI have made it a lot easier and safer to bring HCC coding in-house, lowering costs, and strengthening audit readiness.
In an interview, Munich Re Specialty Senior Vice President Jim Craig talked about the risk that accompanies innovation and the important role that insurers play.
AI and advanced analytics can help organizations move beyond incremental fixes, streamlining access and improving patient experience, without overburdening staff or budgets.
About 22 million Americans would face sharply higher healthcare costs if enhanced ACA tax credits expire at the end of the year. Experts warn that the impact would extend beyond just families relying on ACA courage — also straining hospitals, increasing uncompensated care and potentially costing the economy hundreds of thousands of jobs.
Pyx Health launched an AI-driven platform to help members navigate care, meet new Medicaid and SNAP requirements and address social needs like food insecurity.
CMS and AHIP are raising the floor, but forward-thinking plans are aiming higher. They’re designing utilization management systems that are clinically sound, operationally efficient, and aligned with enterprise goals.
When control over prescription drug access rests with only a few players, the result is not just market imbalance — it is higher plan costs, increased financial pressures, and ultimately reduced affordability for patients.