Senate Approves Deal to End Government Shutdown Amid Healthcare Funding Dispute
A bipartisan vote in the Senate has led to the reopening of the government
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8 Things to Watch for the 2026 ACA Open Enrollment Period
The ACA Marketplace Open Enrollment season begins November 1, and with it comes looming changes to the enhanced premium tax credits, increases in out-of-pocket premiums, and changes to Marketplace enrollment and eligibility rules. Here are eight things to know about the 2026 Open Enrollment period.
Penguin Ai Snags $30M to Simplify Prior Auth, Coding and Claims
Penguin Ai raised $29.7 million for its AI platform aimed at automating costly administrative tasks like prior authorization and medical coding. CEO Fawad Butt said the startup’s goal is to move beyond point solutions and create an “Epic of the healthcare back office.” The post Penguin Ai Snags $30M to Simplify Prior Auth, Coding and…
5 Key Facts about Medicaid Program Integrity – Fraud, Waste, Abuse and Improper Payments
Program integrity efforts work to prevent and detect fraud, waste, and abuse, to increase program transparency and accountability, and to recover improperly used funds. This brief explains what is known about improper payments and fraud and abuse in Medicaid and describes ongoing state and federal actions to address program integrity.
Myths About Raw Milk and Vaccines – KFF Health Misinformation Monitor
This volume explores narratives linking vaccines to autism and misleading claims about the benefits of raw milk. It examines how trust and perceived expertise influence misinformation and AI’s role in spreading false mental health information.
The Trust-Building Playbook: 5 Tips Every Digital Health Marketer Needs to Know
Building trust while simultaneously building products, selling, recruiting, and fundraising can feel impossible. But it’s required whether you have the time or not, and it doesn’t stop no matter how big you grow. The post The Trust-Building Playbook: 5 Tips Every Digital Health Marketer Needs to Know appeared first on MedCity News.
Years Later, Centene Settlements With States Still Unfinished
More than three years ago, health insurance giant Centene Corp. settled allegations that it overcharged Medicaid programs in Ohio and Mississippi related to prescription drug billing. Now at least 20 states have settled with Centene over its pharmacy benefit manager operation that coordinated the medications for Medicaid patients. Arizona was among the most recent to…
Rural Healthcare Challenges and Solutions: Insights from PCC’s 2025 Evidence Report
Key trends discussed in a webinar hosted by the PCC indicate that rural clinicians provide comprehensive care amid declining primary care spending
Network Created to Promote Healthier Pregnancies in Michigan
Fourteen maternal-fetal medicine-focused universities and healthcare systems across the state are participating in SOS Maternity
Bad Provider Data Is Delaying Care and Driving Up Costs, CAQH CEO Warns
Inaccurate provider data is creating a hidden crisis in healthcare by delaying care and driving up costs for both patients and health plans, according to CAQH CEO Sarah Ahmad. Her organization is working to address the issue by improving how provider data is collected and verified on the front end. The post Bad Provider Data…