Sept. 18, 2025
| Today’s news and insights for healthcare leaders
Stellarus was launched as part of Blue Shield of California’s restructuring to sell services to nonprofit plans that they don’t have the resources to build themselves. That pitch has now worked on at least two Blues plans.
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Republicans pushed for more oversight, or complete removal, of nonprofits’ tax-exempt status. Democrats warned restrictions could cause hospital closures.
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America’s primary care chassis is crumbling, and how Medicare pays physicians is partially to blame. Expanding value-based payment arrangements could be the answer, experts say.
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AI models are critical for predicting and managing behavioral health risk. The question for health plan executives is whether to build or buy these solutions.
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Susan Monarez told senators at a hearing Wednesday that Robert F. Kennedy Jr. pushed her out for refusing to rubber-stamp changes.
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UPDATED
The Baltimore-based system and the major insurer called off contract negotiations, keeping some 60,000 patients out of network.
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Though utilization has dropped from pandemic highs, telehealth is here to stay, particularly for routine and mental healthcare. Explore how virtual solutions are continually being integrated in this Trendline.
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