Dec 21, 2025
•
20 min read
A new AI conglomerate emerges, specialty pharmacy vibes, Humana's MA question, CMMI's LEAD Model, and more
Dec 19, 2025
3 min read
There's an acute need for new approaches to primary care in Medicaid, and a bill before Congress would extend additional flexibilities to state Medicaid agencies interested in exploring DPC as a potential solution.
Every payer is trying to manage ABA spending with rate cuts and UM. But what if the answer is an entirely different clinical model?
Dec 18, 2025
11 min read
Reading the ACA tea leaves, skin substitute determinations, and OIG audits.
9 min read
Expect a lot of M&A and affiliations in the payer market, and eventually a market equilibrium with health systems.
