US halts over $1 billion in Medicaid funds to California and Minnesota due to medicare fraud concerns and payment claims issues.







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US halts over $1 billion in Medicaid funds to California and Minnesota due to medicare fraud concerns and…

Scaling value based care requires key capabilities and a solid data foundation for success in healthcare payments.

A federal judge halts Trump administration rules cutting ACA market protections, preserving coverage access and subsidy eligibility for…

Congress targets doctor pay and pricing with new Medicare reform bills that impact doctor reimbursement and patient care…

Medicare prior-authorization pilot survives Senate Republican vote, keeping AI-driven checks in six states as Democrats fail to end…

Digital health funding surged in H1 2026 as U.S. startups secured $7.4 billion across 244 VC deals, with…

Medicare pay cuts loom for doctors in 2027 under new reimbursement rules, affecting all physicians with conversion factor…

HCA Healthcare lowers its 2026 profit outlook due to $400M in insurance losses from ACA coverage drops, reshaping…

HCA cuts 2026 earnings forecast after a $400 million insurance loss from ACA exchange changes, revealing payer mix…

New data shows ACO REACH savings hit $2.5 billion in 2024 as the value-based care pilot nears its…