Modern Healthcare

States say rushed Medicaid work requirement implementation could jeopardize coverage for eligible enrollees.

Democratic governors seek Medicaid work rule delay from HHS

Texas issued civil investigative demands to the insurer tied to allegations of denied or delayed necessary care.

Texas AG probes UnitedHealth Group over coverage denials

The federal government is cracking down on noncompliance with price transparency rules.

FTC warns hospitals on price transparency data

Price transparency is a core plank in President Donald Trump's healthcare agenda.

Feds revamp insurer price transparency rule

The purchase of Sofie, which makes radioactive drugs used in PET scans, could expand GE HealthCare’s presence in the U.S. radiopharmaceutical market.

GE HealthCare to acquire Sofie Biosciences for $945 million

The program spotlights women who are developing policy, leading change and guiding improvements in care delivery.

Nominations open today for the Leading Women 2027 awards

As artificial intelligence takes on a bigger role in healthcare, some companies are tying leaders’ compensation to how well they incorporate the technology into operations.

Companies including UnitedHealth Group and Elevance Health are including AI-related incentives in their executive compensation. The plans, annual and long-term, measure performance based on AI adoption and implementation, and how well those tools accelerate enterprise-wide strategies.

Consultants say, however, including AI in performance metrics is still an uncommon practice in healthcare, despite the growing prevalence of AI.

Here’s a look at how compensation plans are starting to incorporate AI adoption, which companies are on board and why some organizations aren’t quite ready for the change.

Tying AI adoption to executive pay gains traction

President Donald Trump enacted the largest Medicaid cuts in history last year. Since then, his administration has stretched those cuts even further than scorekeepers expected.

The Centers for Medicare and Medicaid Services’ state-directed payments regulation, its provider tax proposal, its rule codifying Medicaid work requirements and a guidance document revising certain Medicaid budget policies would result in deeper impacts than what the nonpartisan Congressional Budget Office projected last year, according to CMS’ own calculations.

Restrictive eligibility and work requirements and potential penalties may force states to budget more conservatively and err on the side of caution when conducting verifications, according to researchers and provider groups.

How CMS is pushing Medicaid cuts beyond Congress’ forecast

Modern Healthcare is proud to be attending the Premier's annual healthcare technology conference this year. We will be reporting live with event coverage – be sure to check your inbox for our daily highlights! Premier will also be live-streaming general sessions on their LinkedIn page –hit follow if you haven’t already!

Breakthroughs 26 Join us for Breakthroughs 26!

Explore the forces shaping 2027 healthcare spend, from inflation and utilization to site-of-care shifts, innovation and supply resiliency.

Beyond Inflation: 2027 Healthcare Spend Outlook