Healthcare Payers / Providers Reports

May 21, 2025

Medicare Advantage: Ramping Up RADV Audits Clearly a Threat, But Does It Head Off Other Risks? [HUM, UNH, CVS, ELV, ALHC]

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Beth Steindecker

ALHC (US), CNC (US), CVS (US), ELV (US), HUM (US), UNH (US)
May 19, 2025

Expected Federal Report on Fertility Benefits: Regulatory Recommendations Likely Incremental [PGNY]

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Beth Steindecker

CI (US), ELV (US), PGNY (US), UNH (US)
May 16, 2025

[CNC, MOH, ELV, OSCR, ARDT, THC, ACHC]: What’s Next for Healthcare in House’s Reconciliation Proposal

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Beth Steindecker

ACHC (US), ARDT (US), CNC (US), ELV (US), MOH (US), OSCR (US), THC (US)
May 13, 2025

[ELV, CNC, MOH, UNH, CVS] CMS Managed Care Provider Tax Proposal

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Beth Steindecker

CI (US), CNC (US), CVS (US), ELV (US), MOH (US), OSCR (US), UNH (US)
May 12, 2025

Healthcare & Reconciliation: Worst Case Avoided

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Beth Steindecker

ACHC (US), ARDT (US), CNC (US), CYH (US), ELV (US), MOH (US), UHS (US)
May 7, 2025

PBMs: Death by a Thousand Cuts? [CI, CVS, UNH, ELV, GDRX]

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Beth Steindecker

CI (US), CVS (US), ELV (US), GDRX (US), UNH (US)
May 6, 2025

Optimism for Longer Term Resolution on Obamacare eAPTCs Remains but CMS Suggests Expiration [OSCR, CNC, MOH, ELV, HCA, THC]

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Beth Steindecker

CNC (US), ELV (US), HCA (US), MOH (US), OSCR (US), THC (US)
April 29, 2025

[CNC, MOH, ELV, ARDT, UHS, CYH] Rising Risk of Medicaid Expansion Reforms in Reconciliation – Per-Capita Cap in the Lead

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Beth Steindecker

ARDT (US), CNC (US), CYH (US), ELV (US), MOH (US), UHS (US)
April 21, 2025

Medicaid Provider Tax Proposal: Too Little Info to Appropriately Size Threat [UHS, ARDT, MOH, CNC, ACHC, ENSG]

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Beth Steindecker

ACHC (US), ARDT (US), CNC (US), ELV (US), HCA (US), MOH (US), UHS (US)
April 16, 2025

Trump Biopharma EO: Laying the Groundwork for Additional Hospital Reconciliation Targets [municipal-backed, HCA, THC, CYH, ARDT, UHS]

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Beth Steindecker

ARDT (US), CYH (US), HCA (US), THC (US), UHS (US)