Modern Healthcare

Provider taxes, a major source of Medicaid funding for states, are facing scrutiny in Congress. Lawmakers aim to curb these taxes, a move that could lead to significant Medicaid cuts and tough choices for states.

Elevance Health is facing a second lawsuit accusing it of maintaining inaccurate provider directories, also known as “ghost networks.”

Priority Health has named Nick Gates its interim president effective Thursday. Gates, the company's senior vice president of finance, will succeed Praveen Thadani, who is stepping down and will act as an advisor until June 13.

Novant Health lost its bid to grow its North Carolina acute care network as state regulators approved an Atrium Health hospital expansion.

Sutter Health agreed to pay $228.5 million to settle a class-action lawsuit that alleges the health system forced insurers into anticompetitive contracts.

Days after Elevance Health assured investors it remains optimistic about Medicare Advantage, the health insurance company announced it will stop marketing most products under the program.

Most Blue Cross and Blue Shield companies lost money last year as rising Medicaid and Medicare costs squeezed their bottom lines. The vast majority of 31 Blues companies reported weaker operating margins as membership declined and medical and pharmaceutical costs rose.

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With the Medicare Advantage landscape becoming more complex, Blue Cross of Idaho is sharpening its growth strategy. CEO Paul Zurlo shares how the insurer is navigating this space while staying focused on long-term value.

Federal funding uncertainty and rising costs are delaying some health system construction projects. But major inpatient and outpatient expansions are still forging ahead, for now.