New & Notable
Cigna to launch 6 new AI features in member portal
The payer is launching AI features to answer members' benefits and claims questions, track their costs and find healthcare providers and services that match their medical needs.
MedPAC calls for overhaul of physician fee schedule updates
MedPAC recommended to Congress inflation-based updates to Medicare's physician fee schedule to improve predictability for clinicians and access to care for beneficiaries.
Medicaid work requirements impact those currently working
A new report shows how Medicaid work requirements affect those who work, but face limited hours due to seasonal employment or gig and service work.
OIG audit finds $6.9M in MA overpayments made to Coventry
An OIG audit finds Coventry collected nearly $7 million in Medicare Advantage overpayments due to improper coding of high-risk diagnoses, although the payer denied the findings.
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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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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Health insurance coverage costs soar 6% in 2025
Spikes in health insurance coverage costs could raise questions about how much employers and employees will shoulder these expenses moving forward.
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CBO: Tax bill would strip health insurance from 11 million people
The Congressional Budget Office projected that nearly 11 million people would lose health insurance coverage under Trump's tax bill, which House Republicans narrowly passed in May.
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Member engagement leads to high health plan satisfaction
Commercial payers with better health plan satisfaction scores tended to have better member engagement and education, J.D. Power reported.
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CMS tightens oversight of Medicaid use for immigrants
CMS plans to conduct reviews of select states' financial management systems to ensure that Medicaid funds are not used to provide healthcare to undocumented immigrants.
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House passes budget reconciliation bill with Medicaid cuts
The narrow, party-line vote pushed through Medicaid work requirements, estimated to result in millions of coverage losses.
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Medicare Part D coverage affected by insurer exits: Study
Mass General Brigham researchers studied how insurer exits following Medicare Part D changes under the Inflation Reduction Act impacted coverage for beneficiaries.
Features
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Exploring Transparency in Coverage schema 2.0, prescription drug prices
Federal agencies unveiled updates to Transparency in Coverage, mandating a new technical schema that promises to improve data and floating prescription drug price transparency.
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What agencies must know about House-passed Medicaid cuts
As the budget reconciliation bill awaits Senate approval, Medicaid agencies must assess how they'll handle massive Medicaid cuts.
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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.