maxRTE

For the first time in seven years, fewer people have ACA Marketplace coverage than the year before. After the enhanced premium tax credits expired, enrollment fell 12%. The losses weren't spread evenly. A few states lost about a third of their enrollees,

HBO Max's The Pitt has been praised for how accurately it captures an urban emergency department. The waiting room never empties, admitted patients board for hours waiting on a bed upstairs, and staff move from case to case with no slack anywhere in the d

Following several years of rapid enrollment growth in the Affordable Care Act (ACA) Marketplaces that corresponded with temporary enhanced premium tax credits, enrollment fell for the first time in seven years in 2026, when those tax credits expired. Ever

People formerly covered by the ACA exchanges are remaining uninsured almost on a one for one basis.

Hospitals face climbing write-offs from medical necessity and prior authorization denials. Insurers are using automated algorithms to issue split-second, high-volume denials. Under the CMS-0057-F Interoperability and Prior Authorization Rule, payers must

The East Coast CORE (Collaboration of Revenue Cycle Epic Users) Meeting is one of the most anticipated events for healthcare professionals navigating the Epic ecosystem. Whether your organization is in the middle of a new Epic implementation or you're a s

Alabama-based Health System Generates 52x ROI with maxRTE Day 1 Insurance Discovery Faced with mounting self-pay volumes, a Alabama-based health system spanning more than 700 beds across three acute care hospitals needed a proactive solution. The organiza

This analysis examines early indicators of how the expiration of enhanced premium tax credits has affected effectuated enrollment levels (i.e., enrollment among people who have paid their premiums), plan selections, and out-of-pocket costs in 2026, drawin

A patient arrives at the front desk claiming traditional Medicare coverage. But this routine check often masks two costly risks: the patient forgot their physical card, or they are actually enrolled in a Medicare Advantage plan. If registration doesn't ca

Source: KFF State Health Facts , effectuated enrollment.