New & Notable
CMS releases final ACA marketplace payment notice for 2026
The 2026 updates to the ACA marketplace include calculation updates for risk adjustment, slight changes to cost-sharing reduction loading practices and more.
2025 ACA open enrollment breaks records with time to spare
This ACA open enrollment season saw 3.2 million new enrollees enter the marketplace and those numbers could grow before the season ends on Jan. 15, 2025.
How a Healthcare Technology Partner Can Enhance Efficiency
Across other industries, digital transformation has been ongoing for decades, leading to increased efficiencies. In healthcare, modernization has occurred rapidly on the clinical side, but the financial aspect of the industry—the billing, claims ...
How Healthcare Technology Helps Brokers Improve
Managing provider and network data is a critical piece of the puzzle for ensuring care flows seamlessly throughout the healthcare system. When data is accurate, accessible, and up-to-date, beneficiaries can find the right care at the right time, ...
Insights
Insights is the research division of Xtelligent Healthcare Media. Our work aims to leverage Xtelligent’s diverse readership of healthcare professionals across various sectors of the industry to understand real-world challenges and identify effective solutions.
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Sponsored Sites
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Autonomous Coding
Solventum
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Revenue Cycle Management
Brault
Brault is a revenue cycle and practice management organization that partners with hospitals and independent physician groups. Their intelligent practice solutions include coding and billing, MIPS optimization, provider documentation training, and practice management.
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Revenue Cycle Management
Greenway Health
Improving healthcare through innovation is at the heart of Greenway Health’s work. We provide electronic health records (EHR), practice management, and revenue cycle management solutions that help practices in multiple specialties grow profitably, remain compliant, work more efficiently, and improve patient outcomes.
Healthcare Strategies: A Podcast
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
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Latest News
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How to overcome weaknesses in Medicaid postpartum coverage
Medicaid postpartum coverage extensions have been critical, but states face challenges addressing access to care, quality of care and MCO accountability.
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High health costs force small employers to up cost-sharing
As small businesses struggle to keep up with rising healthcare costs, many have increased cost-sharing for their workers in both single and family coverage.
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Lawmakers promote access to direct primary care in Medicaid
While Medicaid programs can use waivers to implement direct primary care, a law that is under consideration in the Senate would make it easier for states to take this approach.
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CMS suggests public payer weight loss drug coverage changes
Amid suggestions around prior authorizations and AI use, CMS introduces a policy that would expand weight loss drug coverage in Medicare Advantage, Medicaid and Part D plans.
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Top 5 Medicare Advantage payers by footprint in 2025
The five Medicare Advantage payers with the largest footprint in 2025 made their case to beneficiaries by positioning themselves on affordability, quality and access to care.
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ACA open enrollment for 2025: What you need to know
CMS pursued proven outreach strategies for ACA open enrollment 2025, sought to lower costs for consumers, and announced that the number of ACA plans had increased.
Features
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5 pillars that underpin payer population health strategies
The healthcare system faces many challenges, but by focusing on these five pillars, payers can establish holistic and effective population health strategies.
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Understanding Medicare vs. Medicaid vs. CHIP
Medicare, Medicaid and CHIP are very influential in the healthcare industry at large, often steering trends in value-based care, social determinants of health and health equity.
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Key MA quality bonus payment program outcomes, concerns
Understanding the quality bonus payment program is critical to appreciating Medicare Advantage and discussing the calls for reform.
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What are the differences between Medicare Parts A, B, C, D?
Medicare includes four different segments that each insure a wide variety of services and supplies for enrollees.