A new AI conglomerate emerges, specialty pharmacy vibes, Humana's MA question, CMMI's LEAD Model, and more
Dec 21, 2025
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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.
Dec 19, 2025
Every payer is trying to manage ABA spending with rate cuts and UM. But what if the answer is an entirely different clinical model?
Reading the ACA tea leaves, skin substitute determinations, and OIG audits.
Dec 18, 2025
Expect a lot of M&A and affiliations in the payer market, and eventually a market equilibrium with health systems.
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