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Latest Articles
Humana’s Q2 Earnings Beat on Cash Flow. Margins Told a Different Story.
5+ hour, 14+ min ago (249+ words) Humana stock investors are weighing a quarter that beat nearly every headline metric against a business still absorbing the cost of fixing its Medicare Advantage margins on TIKR for free → Management framed that compression as the cost of a longer…...
CMS Releases FY 2027 IPPS and LTCH PPS Final Rule: Rates, Mandatory CJR-X Model, and EHR Changes
2+ day, 18+ hour ago (157+ words) CMS Finalizes Mandatory Nationwide CJR-X and FY 2027 Inpatient Payment Rules The hospital administration, revenue cycle management, and health policy sectors face a major regulatory pivot following the release of CMS’s FY 2027 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital…...
CNY Organizations Prepare for Medicaid Eligibility Changes
9+ hour, 57+ min ago (255+ words) More than 180 health care, government and community-service professionals met in Syracuse this past week to begin coordinating a regional response to Medicaid eligibility changes scheduled to take effect January 1. The event brought together representatives from more than 90 organizations serving Cayuga,…...
Letters: Medicare Advantage plans must be affordable. Seniors’ lives depend on it.
8+ hour, 7+ min ago (173+ words) Louisiana seniors rely on Medicare Advantage plans because they make real-world healthcare affordable. Healthcare affordability is an ongoing issue. Seniors will continue working on it with policymakers in Washington to strengthen Medicare Advantage and to ensure that concerns about the…...
Park Medi to acquire Mehar Hospital in Zirakpur for Rs 107 crore · Business Upturn
9+ hour, 1+ min ago (206+ words) Park Medi World Limited has announced the acquisition of Mehar Hospital in Zirakpur, Punjab, for approximately ₹107 crore in cash, marking another step in the company's expansion strategy in North India. The company will acquire a 100% stake in Mehar Mediserve LLP,…...
Immigrant 'entrepreneur' collected $36.2 million before Minnesota Medicaid fraud probe | AlphaNews.org
1+ hour, 21+ min ago (755+ words) Following a June hearing, an administrative law judge determined that clients of Arnold Kubei's companies faced an "imminent risk of harm" and recommended that the suspensions remain in place. It was billed as “Bankruptcy to Multimillions in 5 Years.” In YouTube…...
Insurance Reform Focus Shifts to Transparency Over Caps
12+ min ago (250+ words) Whalesbook For years, Indiaâs insurance sector operated under strict caps on commission payouts, a rule intended to limit intermediary costs However, these regulations often led to unintended consequences Between 2018 and 2022, investigations revealed that several insurers bypassed these limits by…...
Surrender and withdrawals as a share of total benefits paid by life insurers rise to 39%
2+ hour ago (411+ words) Surrender and withdrawals as a share of the total benefits paid by life insurers have increased from 32 per cent in 2021-22 to 39 per cent in 2025-26, Parliament was informed on Monday. This indicates an increase in surrender and withdrawal behaviour over the…...
Out-of-Network claims are costing you more than you think
2+ hour, 42+ min ago (1032+ words) Providers Are Winning 88% of IDR Disputes. Here’s what successful health plans are doing differently. The numbers are no longer surprising. They’re just expensive. For health plan CFOs and CEO’s, those figures represent real, trackable budget exposure, not a market-level abstraction....