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As we watch Nebraska roll-out community engagement requirements, Devoted is navigating seemingly contradictory headlines, and Virtue hypothesizes about a new actuarial infrastructure layer
Apr 30, 2026
A real tragedy of the commons situation in the IDR process and state-level "public options"
Apr 23, 2026
Why I like ACCESS even though I'm skeptical it will work and state level insurance experiments.
Apr 16, 2026
Inferred risk for ACOs and tough choices for state legislators and Medicaid agencies.
Apr 2, 2026
A pall over AHIP, managed care by default in Medicare, and retroactive Medicaid coverage.
Mar 26, 2026
MedPAC recommendations, state directed payments, and the ESRD bundled payment.
Mar 19, 2026
Bipartisan discontent with MA plans, a case study in work requirement implementation costs, and the twitchiness of ACA insurance investors
Mar 12, 2026
prior auth is back in the spotlight, Elevance's USB thumb drives, funding rounds for Greater Good Health and findhelp, and the MA edition of when to defect in a prisoner's dilemma type situation
Mar 5, 2026
fraud watch, provider shortages, the downsides of clever schemes like 340B, and more
Feb 26, 2026
regulatory risk premia, access rates, and laboratories of health care policy
Feb 19, 2026
20% growth for Humana's MA book during AEP, the 2027 payment rule for ACA plans, and the mother of all procurements for Indiana Medicaid.
Feb 12, 2026
Insights on ACA, VBC, and PACE from public earnings, ACO updates from CMS, and one small step towards site neutral payments.
Feb 5, 2026
Advance rate notice, ACA enrollment, and the latest salvo in the what costs more, original Medicare or Medicare Advantage debate
Jan 29, 2026
PBM reform, the HHS appropriations deal, and a $40m Series B for virtual ABA platform AnswersNow
Jan 22, 2026
Some JPM highlights, an ACA enrollment update, and pondering what the right % of household income is for healthcare spending
Jan 15, 2026
The rural transformation begins, an update on ACA subsidies and enrollment, and a big fundraising round for a business with Medicaid exposure.
Jan 8, 2026
Reading the ACA tea leaves, skin substitute determinations, and OIG audits.
Dec 18, 2025
ACA enrollment numbers come in hot, Medicaid infrastructure comes into focus, and the regulatory tailwind of the 21st Century Cures Act for ESRD
Dec 11, 2025
ACA open enrollment, final rules, and the sub-optimal policy trap
Dec 4, 2025
the ACA extension party lines, what enacted and imposted means, and a new strategy for CMS' innovation center
Nov 20, 2025
the HSA option, BearCare, and the trouble with policy making around the most or least sympathetic cases
Nov 13, 2025
tough choices for fragile state budgets, squeezing the Medicare balloon, and MA plans report earnings during a tricky year
Nov 6, 2025
No one wants to be the cheapest ACA plan in 2026, Medicaid cuts as a headwind, and managing costs in the US health care system.
Oct 30, 2025
earnings season starts with Elevance and Molina, Cedar launches a digital safety net, and the ACA saved money but also made everyone angry
Oct 23, 2025
The subsidy shutdown drags on, Deloitte is in the hot seat, and a brief but big scare for Medicare provider billing
Oct 17, 2025
