Advocates Say New Medicaid Work Rules Will Burden States, Jeopardize Coverage
Medicaid work reporting requirements are moving closer to reality, and healthcare advocates say the operational consequences could be significant
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A Profile of Dual-Eligible Individuals
Approximately 12 million people are enrolled in both Medicare and Medicaid, referred to as dual-eligible individuals. This brief examines the demographic, socioeconomic, and health characteristics of dual-eligible individuals compared with Medicare beneficiaries without Medicaid.
Five Key Facts About Spending and Enrollment for People with Medicare and Medicaid (Dual-Eligible Individuals)
This issue brief analyzes provides a profile of enrollment and spending on dual-eligible individuals, drawing on new analysis of data on chronic conditions to show how higher rates of chronic conditions contribute to higher average spending among this population.
Duke Health Joins North Carolina State Health Plan’s New Tiered Network for 2027
Over 253,000 instances of care were provided by Duke to State Health Plan members in 2025
Answers at the Speed of Thought: Healthcare Analytics in the Era of Agentic AI
We are moving into an era where we can finally converse with our data. We can ask, “Why are denials spiking in Region X?” or “Show me the safety profile of this cohort,” and receive an answer, not a spreadsheet. The post Answers at the Speed of Thought: Healthcare Analytics in the Era of Agentic…
Jump in Uninsured Patients Stings HCA
The hospital operator’s executives say changes in patient mix cost it $400 million in pre-tax profits last quarter.
The Measurement Problem Behind Two Decades of Neurology Trial Failures
The FDA now treats continuous, real-time data sharing as a regulatory direction of travel rather than a theoretical future. The neurology field should pay close attention. The post The Measurement Problem Behind Two Decades of Neurology Trial Failures appeared first on MedCity News.
Off the Radar: How Unapproved AI Is Complicating Healthcare Cyber Risk
You cannot secure what you cannot see, and right now, healthcare organizations are accumulating hidden cyber liabilities with every keystroke. The post Off the Radar: How Unapproved AI Is Complicating Healthcare Cyber Risk appeared first on MedCity News.
Payers Who Improve Data Quality Will Define the Next Era of Health Plan Performance
[Sponsored] On July 22, a webinar sponsored by Verato will spotlight perspectives of executives from Scan Health Plan and the Alliance of Community Health Plans. The post Payers Who Improve Data Quality Will Define the Next Era of Health Plan Performance appeared first on MedCity News.
Facing Funding Losses, States Call Out Big Businesses With Employees on Medicaid
As the Trump administration’s January deadline looms for states to enforce new Medicaid work requirements, some state lawmakers are turning the tables by pushing to publicly name the largest companies that have employees enrolled in the government program covering low-income and disabled people. California lawmakers seek to revive an expired law that would require the…