Some health systems more dependent on ACA marketplace
Patients with marketplace coverage through the Affordable Care Act (ACA) have reached the point where they contribute substantial health system revenue, raising concerns the plans may get scaled back. Marketplace enrollment hit a new record high in 2024 when more than 21 million people enrolled. That was an increase from 16 million enrollees in 2023…
Some providers seek more Medicaid patients as program’s finances improve
An increasing push by states to boost Medicaid funding has led some health systems to change their views on the program to the point of now seeking its enrollees as patients. Mississippi, Nevada and North Carolina were the most recent states to obtain approval for supplemental Medicaid payments from the Centers for Medicare and Medicaid…
Health systems adopting AI face growing cyberthreats, according to study
Health systems are pushing to adopt AI in a range of patient-facing, clinical and back-office functions. But the new technology can increase cyberthreats, says emerging research. Attacks on 2,000 generative AI (GenAI) models succeed 20% of the time in performing so-called jailbreak attacks, according to recent research by Pillar Security, a GenAI security firm. Jailbreak…
Medicare Advantage turmoil could allow new arrangements
Amid a roiling 2025 Medicare Advantage (MA) market, health systems may have new opportunities to change payment dynamics with them.