‘Medicare for All’ Is Back. Now Comes the Hard Part.

As Americans grow increasingly frustrated with their healthcare system, a proposal that has long been kicked around on the Democratic periphery is showing up in debates and on political platforms: “Medicare for All.” According to a 2025 Economist-YouGov poll, nearly 60% of Americans favor a system of Medicare for All, while 85% of Democrats support…

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Food Aid Enrollment Tanks After SNAP Rule Changes

After President Donald Trump signed the One Big Beautiful Bill Act more than a year ago, enrollment in the federal food assistance program dropped rapidly across the nation as states enforced new restrictions and prepared to take on more of the costs. Nationally, an estimated 5 million, or 13%, fewer people were enrolled in the…

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Healthcare Is Fighting the Wrong AI War

By KIM BELLARD The Blue Cross Blue Shield Association is crying wolf about AI. Its new analysis claims that “hospital systems are increasingly billing patient hospital stays as more medically complex,” and that these upcodings cost BCBS plans almost $1b from 2023 to 2025. That’s just claims from hospital systems, just to BCBS plans, so…

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Time to Stop “Calling it Reimbursement”

By JEFF GOLDSMITH Back during the Jurassic period, at the beginning of my consulting career, senior colleagues at Ernst and Whinney took me to lunch to explain to the newby the facts of life in healthcare finance. The biggest takeaway from that long ago conversation: the entire history of hospital finance was built up on…

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