Category: Health Policy
-
Medicare Advantage Under Pressure: Navigating the Financial Storm Ahead
As 2025 unfolds, the Medicare Advantage (MA) landscape is shifting dramatically—bringing new challenges for providers, payers, and patients alike. At the heart of the disruption lies rising medical costs and an industry bellwether, UnitedHealth Group, signaling deep turbulence by suspending its 2025 financial outlook and announcing the sudden departure of its CEO, Andrew Witty. These…
-
Medicaid Payment Delays Strain Hospitals: The Hidden Crisis in U.S. Healthcare
In the ever-evolving landscape of healthcare, hospitals are facing a new, yet largely underreported, challenge—delays in Medicaid supplemental payments. These payments, which are crucial for the financial stability of hospitals serving low-income and vulnerable populations, are being held up due to increased federal scrutiny. Understanding Medicaid Supplemental Payments Medicaid supplemental payments are designed to support…
-
Caught in the Middle: The Pitfalls of Managed Medi-Cal Health Plans
As California continues to expand access to healthcare through Medi-Cal, more patients are finding themselves enrolled in managed care plans. On paper, these managed Medi-Cal health plans promise coordinated, cost-effective care for the state’s most vulnerable populations. But the reality on the ground tells a more complicated story—one filled with bureaucratic barriers, access challenges, and…
-
Navigating the Giants: The Role of Big Insurance in Shaping Healthcare Policy
Large insurance companies wield immense influence in the healthcare realm, shaping policy, access, and innovation. While they can streamline care and drive efficiency, their dominance raises concerns about equity and market power. Collaborative efforts among stakeholders are crucial to strike a balance between leveraging their capabilities and serving the public good for a healthier healthcare…
Curaeon 