The Centers for Medicare and Medicaid Services (CMS) has introduced a series of measures to tighten its oversight of health insurance exchange brokers, aiming to protect consumers and enhance accountability. Under the Notice of Benefit and Payment Parameters for 2026, CMS addresses concerns about broker misconduct while introducing broader changes to improve the functioning of […]
The Centers for Medicare and Medicaid Services (CMS) is on a transformative journey to transition all Medicare beneficiaries into value-based care arrangements by 2030. While progress has been notable, experts warn that the initiative is at a critical inflection point. Decisions made in the coming months—particularly around financial incentives and program benchmarks—will determine whether CMS
CMS’ 2030 Value-Based Care Goal: A Critical Turning Point Read More »
Pharmacy benefit managers (PBMs) are under intense scrutiny following a Federal Trade Commission (FTC) report exposing $7.3 billion in markups on specialty generic drugs over a six-year period. CVS Caremark, OptumRx, and Express Scripts, subsidiaries of CVS Health, UnitedHealth Group, and Cigna, respectively, have been accused of inflating prices for critical medications treating conditions like
The Hidden Costs of Generic Specialty Drugs: FTC Exposes $7.3 Billion Markup by Top PBMs Read More »
The healthcare industry is experiencing a technological revolution, and customer relationship management (CRM) tools are taking center stage in reshaping patient engagement. With Salesforce and Epic leading the charge, healthcare organizations are leveraging CRM platforms to enhance patient experiences, streamline workflows, and improve care coordination. While both companies bring unique strengths to the table, their
The adoption of Epic’s electronic health record (EHR) system by leading health systems continues to reshape the healthcare landscape. With its growing dominance in the acute care EHR market, Epic has become the platform of choice for many organizations striving for efficiency, integration, and improved patient care. Recent developments at Northwell Health, Sarasota Memorial Health
The Evolution of Epic EHR: Transforming Healthcare Systems Across the U.S. Read More »
The Centers for Medicare and Medicaid Services (CMS) recently reached a significant milestone in its value-based care initiative: more than half of fee-for-service Medicare enrollees are now part of accountable care arrangements. This achievement reflects substantial progress toward CMS’s ambitious 2030 goal of enrolling all fee-for-service beneficiaries in accountable care programs. As of 2025, accountable
Medicare’s Progress Toward Value-Based Care: A Landmark Shift in Accountable Care Read More »