April 14, 2025
| Today’s news and insights for healthcare leaders
The rate increase is the lowest since 2019. The American Hospital Association slammed it as inadequate.
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The decision represents “the end of an era of being open to a broader conception of health within the Medicaid program,” one expert said.
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Only one-third of the models analyzed produced substantial savings for the federal government, according to Avalere Health. The payment models have become a target for spending reductions under the Trump administration.
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This playbook outlines five key attributes of high-performing programs that help payers maximize recoveries and reduce costs—unlocking potential savings of millions annually.
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