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Aetna delays, issues additional details on ‘level of severity inpatient payment’ policy
Aetna’s new “level of severity inpatient payment” policy is now set to take effect Jan.
Survey finds Medicaid enrollment fell in FY 2025, expects flattening in 2026, while spending increases
Medicaid enrollment decreased 7.6% in fiscal year 2025 and is expected to be mostly flat in FY 2026, according to KFF’s annual Medicaid Budget Survey released Nov. 13.
Leading with Care: How Hospitals Can Lead the Next Era of Behavioral Health
This blog explores how hospitals and health systems are shifting toward a population behavioral health model that encompasses prevention, self-care, community outreach, workforce support and clinical services.
Navigating Disruption: What CFOs and Their Teams Need to Know Now
The health care field has entered a period of disruption, from sweeping coverage changes to the rise of artificial intelligence (AI)-enabled tools.
CMS launches payment model for state Medicaid programs to purchase drugs at most-favored-nation pricing
The Centers for Medicare & Medicaid Services is launching a new initiative for state Medicaid programs to purchase prescription drugs at prices aligned with those paid in other countries, known as most-favored-nation pricing.
AHA releases report on behavioral health integration in pediatrics
The AHA Nov. 7 released “Integrating Behavioral Health into Pediatric Care: Hospital-led Solutions to a Growing Crisis,” featuring five case studies on how the integration of behavioral health care into a variety of care settings means clinicians can recognize symptoms early, provide immediate support and reduce the chance of escalation into emergencies or long-term treatment.
Gratitude for the Uniformed Protectors of Our Nation
the training of military medics focuses on saving lives under stress and bridging the gap between battlefield and hospital care.
White House announces deals with Eli Lilly, Novo Nordisk to lower drug costs
The White House announced today that it reached agreements with Eli Lilly and Novo Nordisk to align their drug prices with the lowest paid by other developed nations, known as the most-favored-nation price.
Study examines increase in states banning prior authorization in private health plans for OUD medications
A Health Affairs study published Nov. 3 examined an increase in states banning prior authorizations in private insurance plans for opioid use disorder medications.
AHA video highlights hospital-community partnerships in New Orleans
The AHA collaborated with LCMC Health in New Orleans to spotlight innovative efforts that extend care beyond hospital walls.