New & Notable
ACA Marketplace enrollment hits record-high 24.3M enrollees
ACA Marketplace enrollment soared in 2024 in large part due to enhanced subsidies making premiums less costly for consumers.
Average monthly Medicare Part D premiums jump 24%
Medicare Part D premiums and deductibles rose significantly during a particularly disruptive annual enrollment period, eHealth found.
Medicaid cuts could spark $95B in state GDPs in 2026
Medicaid cuts could result in hundreds of thousands fewer healthcare jobs and billions in state and local tax revenue.
Optum RX targets cuts to prior authorization for some meds
The move to scrap reauthorization for 80 prescription drugs will ultimately eliminate 10% of prior authorization requirements.
Insights
Insights is research conducted by and for TechTarget Xtelligent Healthcare. 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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Greenway Health
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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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5M would lose coverage with national Medicaid work requirements
An analysis shows massive coverage losses if Congress passes national Medicaid work requirement as a way to reduce federal healthcare spending.
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MedPAC proposes tying physician pay to inflation
MedPAC recommended that Congress link the 2026 physician payment update to the Medicare Economic Index minus one percentage point.
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New analysis estimates $1.1T in Medicaid improper payments
A new analysis estimates $1.1 trillion in Medicaid improper payments over a decade, nearly double CMS's reports, largely due to overlooked eligibility errors.
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Commercial insurance coverage for GLP-1s still limited
Fewer insured people have coverage for GLP-1s, while more are beholden to prior authorization and step therapy before gaining access to the drugs.
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Medicare Advantage enrollees underuse supplemental benefits
Medicare Advantage beneficiaries find value in supplemental benefits like dental and eye exams, but survey data shows that these benefits are underused.
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What are the implications of Medicaid per capita caps?
Medicaid per capita caps would decrease federal spending, creating a choice between increased state spending and enrollee coverage.
Features
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How employers can promote preventive healthcare for members
Employers should examine their benefits, including those they don’t use, to assess how they can promote preventive healthcare access among employees.
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How companies find solutions to employer GLP-1 coverage
Employer GLP-1 coverage has serious cost barriers, but some companies are turning to technology vendors to provide a comprehensive approach to access.
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Employers seek healthcare price transparency to control costs
Navigate rising costs by leveraging healthcare price transparency, direct provider contracts and data access, despite ongoing challenges for employers.
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What does member experience mean for health payers?
A better member experience is key for health payers working to improve consumer loyalty and support their financial bottom lines.