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Paula Blankenship

Communications professional with two decades of award-winning work in journalism, corporate communications, promotional video, public relations and higher education. Always seeking opportunities to serve the public good.

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White Papers, E books, Reports and more

MedPAC Analysis of Physician Participation in Medicare Advantage

A new analysis from the Medicare Payment Advisory Commission (MedPAC)  suggests physician participation in Medicare Advantage (MA) remains widespread nationwide, even as network turnover and contracting dynamics continue to shape how beneficiaries...
Feds Colorado Audit of Autism Therapy Payments Raises Oversight Questions for AHCCCS & Providers National News

Feds Colorado Audit of Autism Therapy Payments Raises Oversight Questions for AHCCCS & Providers

For Arizona policymakers and Medicaid plans, the Office of Inspector General's Colorado findings highlight a growing tension between program oversight, the rapid expansion of private equity-backed applied behavior analysis (ABA) providers and the ability of families to access consistent therapy for children with autism. The issue drew...
Rand Research Report: OBBA's Impact on States, AHCCCS Predicted to Lose Billions and 327,000 Members by 2034 Arizona News

Rand Research Report: OBBA's Impact on States, AHCCCS Predicted to Lose Billions and 327,000 Members by 2034

A new RAND analysis of the Medicaid provisions in the One Big Beautiful Bill Act suggests Arizona could face some of the largest fiscal and enrollment impacts in the country over the next decade. The research report published last week finds that expansion states with heavy use of state-directed payments and provider...
Arizona, California Lead Multi-state Suit Over Federal Vaccine Policy Overhaul Arizona News

Arizona, California Lead Multi-state Suit Over Federal Vaccine Policy Overhaul

Arizona has joined a coalition of states suing Robert F. Kennedy Jr. over changes to the federal childhood immunization schedule and the restructuring of the government’s vaccine advisory panel. The lawsuit , which also names as plaintiffs Health & Human Services and Jayanta Bhattacharya from the Centers for Disease Control...
National News

Trump Administration Announces CRUSH Model - A Medicare & Medicaid Fraud Initiative

The effort, branded the Comprehensive Regulations to Uncover Suspicious Healthcare initiative, or CRUSH, was introduced at the White House by Vice President J.D. Vance, Health and Human Services Secretary Robert F. Kennedy Jr. and Centers for Medicare and Medicaid Services Administrator Dr. Mehmet Oz as part of a broader strategy aimed...
Arizona News

Private Equity is Reshaping Behavioral Health in Arizona - Magellan Health Group Sells to Madison Health Group

This month, Madison Health Group announced it plans to acquire Magellan Health from Centene, roughly five years after Centene bought the company for $2.2 billion. The transaction, pending regulatory approval, would return Magellan to independent ownership under a private equity sponsor amid increased scrutiny of behavioral health...
2026 Medicare Advantage Market Shows Slowing Growth Nationally & Arizona Arizona News

2026 Medicare Advantage Market Shows Slowing Growth Nationally & Arizona

Nearly 787,000 Arizona beneficiaries began 2026 enrolled in Medicare Advantage (MA), according to CMS January enrollment files — only a modest increase from roughly 780,058 enrollees in June 2025. The muted membership gain suggests growth may be slowing in a national and local market that this year remains flat at about 51%...
Arizona News

Arizona: Family Sues Abrazo Hospital After Patient Dies Hours Following Discharge

A Phoenix-area family has filed a wrongful death lawsuit against Abrazo Health Arrowhead, alleging hospital staff discharged their 27-year-old son and transported him alone via rideshare to a downtown Phoenix location where he collapsed and died hours later, according to local reporting. The lawsuit claims Kaelen Lachica, who had...
National News

Humana, Centene and Cigna Outline 2026 Strategy Amid Cost Pressures

Three national insurers delivered earnings this week that, when taken together, sketch a market still adjusting to higher medical cost trends and shifting program economics. Humana’s update centers squarely on Medicare Advantage (MA). The company reported fourth-quarter revenue of $32.5 billion and full-year revenue of $129.7...
Arizona News

Banner Health's Brett Bingham Named to Modern Healthcare's 40 Under 40

Brett Bingham is a nationally recognized Arizona healthcare executive who currently serves as the chief network development officer for Banner Plans & Networks and president of several Banner networks. He holds accountability for provider network strategy, growth, and performance across multiple lines of business and 35,000...
The Wait is Over: NAH Announces No Plans for New Flagstaff Hospital Arizona News

The Wait is Over: NAH Announces No Plans for New Flagstaff Hospital

Flagstaff residents and seasonal summer visitors should not expect a new hospital anytime soon, according to an update this week from Northern Arizona Healthcare (NAH), which reaffirmed the region’s need for additional hospital capacity but said it cannot yet announce a site or construction timeline. The update follows a difficult...
Arizona News

Phoenix Children's Pediatrician on Modern Healthcare's 2026 Under 40 List

National recognition of Arizona-based physicians continues to underscore the state’s growing appeal as a destination for highly specialized clinical talent. Phoenix Children’s announced that Dannah Raz, MD, MPH, the pediatric health system's division chief of developmental and behavioral pediatrics, has been named to Modern...
Arizona News

AHCCCS Director Ginny Rountree to Step Down for Health Reasons

Virginia “Ginny” Rountree announced yesterday that she will resign as director of the Arizona Health Care Cost Containment System (AHCCCS), citing personal health concerns. Her final day with the agency will be Friday, Feb. 13. After deep consideration and conversations with my family, I have made the difficult decision to step down...
National News

Know the Rules: OIG Releases MA Industry Segment-Specific Compliance Program Guidance

Not updated since 1999, the new guidance applies to all individuals and entities involved in the healthcare industry and serves as the Office of Inspector General's updated and centralized source of voluntary compliance program guidance for Medicare Advantage (MA). Entities and individuals can use the ICPG to help identify risks and...
Arizona News

Arizona Complete Health Awards Nearly $1M in Capital Grants to Local Community Organizations

Arizona Complete Health, a subsidiary of Centene and one of Arizona’s largest AHCCCS insurers, has awarded $950,000 in capital grants to 32 nonprofit and public-sector organizations statewide. According to the insurer, the grants are intended to strengthen community infrastructure supporting healthcare access, housing stability,...
Arizona Comings & Goings

Banner Health Hires Shelby Arveson as Senior VP of Finance

Arveson brings more than 25 years of healthcare finance experience to Banner Health.  She was formerly the chief financial officer of the South Division of Providence, California's $9.3 billion non-profit Catholic integrated health system. At Providence, she served in various local operational and corporate roles, including chief...
Arizona News

NAH Wins $248K Grant to Improve Cancer Care Coordination for Tribal Patients

Northern Arizona Healthcare (NAH has received a $248,500 competitive grant from the American Cancer Society, supported by Pfizer, to improve cancer care coordination for Native American patients across northern Arizona and the Colorado Plateau. The two-year initiative, known as Connected Care, focuses on patients receiving radiation...
Arizona News

Healthcare Entrepreneur Hugh Lytle Enters Arizona Governor’s Race as Independent

Arizona’s 2026 governor’s race is expanding beyond the two major parties, with a longtime healthcare executive stepping into an already competitive field as an independent candidate. Hugh Lytle, founder and former CEO of Scottsdale-based Equality Health, announced this week that he is running for governor with the backing of the...
Arizona News

Arizona Autism Therapy Providers Face New Contract Terminations as Medicaid Pressures Intensify

Arizona’s autism therapy network is under fresh strain this week after UnitedHealthcare began terminating contracts with Action Behavior Centers, prompting new concerns about access to care for children receiving Applied Behavior Analysis therapy under Medicaid managed care plans. Parents told AZ Family they received notices that...
National Reports & Surveys

UnitedHealthcare & Optum Recalibrate After Cost Pressures, Set 2026 Recovery Plan

UnitedHealth Group (UHG) released its 2025 end-of-the-year report, which begins with double-digit revenue growth, then pivots to signaling a deliberate pullback in 2026 and pledges to prioritize margin repair over membership expansion, a shift with outsized implications for Medicare Advantage, Medicaid and pharmacy markets, including...
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