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Managing RCM Disruption with a Strong Patient Payments Strategy
When the ACA enhanced subsidies expired at the end of 2025, more than 22 million Americans enrolled in ACA plans saw their insurance rates as much as double overnight.1 The implications of this seismic shift are …
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How the DOJ Is Tackling Fraud in the ACA Marketplace
At the Medicarians Conference, Ricardo Carcas, assistant special agent in charge of the Office of Investigations, discussed cases of fraud …
UnitedHealthcare’s ‘deliberate trade-off’ for margin recovery
UnitedHealthcare expects to lose 1.3 million Medicare Advantage members and shrink its individual ACA enrollment by roughly one-third in 2026, …
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