Why payer contracts matter long after negotiations end
AI is turning payer contracts into revenue intelligence. Here is how.
Optimizing healthcare procurement: Five challenges and best practices
Healthcare procurement is a cornerstone of your organization’s operations, but it comes with unique challenges.
Disaggregation vs. integration: Why an integrated pharmacy benefits strategy is the right choice
Health plans need to understand why integration is still the most impactful option for their pharmacy benefits model.
Can certification help solve healthcare’s AI governance gap?
Joint Commission leaders break down the standards group’s new AI certification, explaining how it’s designed to work for everyone from major health systems to small rural clinics.
Employers plan to shift more health costs to employees
Employers are considering raising premiums and increasing other forms of cost sharing as they grapple with stubbornly rising health costs, according to a new survey from Mercer.
PCMA sues to exempt PBMs from Illinois drug law
The drug middlemen lobby has had a busy week. It’s the second major lawsuit the PCMA has filed against a state law reforming the PBM industry since Monday.
OhioHealth settles antitrust suit with the DOJ
OhioHealth has agreed to void problematic contracts with insurers and not seek such terms moving forward, the Justice Department said. The Ohio nonprofit continues to deny all wrongdoing.
CBO asks for more No Surprises research
The No Surprises Act “might not have the effects that CBO anticipated,” the agency wrote in petitioning for more research into the 2020 law’s effect on healthcare prices and other trends. It’s a welcome development for payers.
Lifepoint taps new COO
Aaron Lewis, who has served as CFO since 2024, takes on the role as the health system looks to expand its footprint and add new services.
Fewer insurers participating in ACA marketplaces amid policy turmoil, KFF finds
The average number of issuers fell from a record high of 9.6 per state in 2025 to just nine this year, according to the health policy research group.