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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

2026 Medicare Advantage Policy Roadmap From Better Medicare Alliance

Better Medicare Alliance (BMA) has released a 10-point policy roadmap urging Congress and the Centers for Medicare and Medicaid Services to strengthen Medicare Advantage oversight while providing greater stability for plans, providers and...
National News

FDA Approves First Pediatric Heart Valve Designed to Grow With Children

The Food and Drug Administration has approved the first pulmonary heart valve designed to be expanded after implantation as a child grows, potentially reducing the need for repeated open-heart surgeries. The surgically implanted Autus Size-Adjustable Valve is approved for pediatric patients with congenital pulmonary valve disease. It...
Arizona Comings & Goings

Phoenix Children’s Promotes Four Physicians to Lead Specialty Divisions

Phoenix Children’s has promoted four physicians from within its pediatric health system to lead pediatric critical care, cardiovascular intensive care, nephrology, and physical medicine and rehabilitation. The appointments include two physicians who earned medical degrees in Arizona and a third who completed her residency in Phoenix,...
White Papers, E books, Reports and more

AHIP Report From Wakely: Marketplace Claims Increase, Historical Trends & Key Cost Drivers

The analysis by Wakely Consulting Group, commissioned by America’s Health Insurance Plans, concludes that underlying healthcare costs and a less healthy risk pool, rather than higher administrative expenses or profit margins, have been the primary driver of recent ACA premium increases. That national trend provides context for...
CMMI GENEROUS Model to Curb Medicaid Rx Pricing - All States Are In! Arizona News

CMMI GENEROUS Model to Curb Medicaid Rx Pricing - All States Are In!

All 50 states met a Sept. 30 deadline to participate in the federal government’s GENEROUS MODEL designed by the CMS Innovation Center to test whether “most favored nation” pricing can reduce Medicaid prescription drug costs. The voluntary model is expected to save states $27.6 billion and the federal government $36.6 billion over...
Arizona News

Arizona Opens Two Rural Healthcare Workforce Grant Opportunities

The new Rural Health Transformation Program funding opportunities are designed to recruit and retain healthcare providers in rural communities. The Arizona Office of Economic Opportunity released requests for grant applications for: Provider Retention & Well-Being Microgrants, which will support efforts to reduce burnout,...
Arizona’s 2027 Medicare Advantage Landscape: A County-by-County Guide Arizona News

Arizona’s 2027 Medicare Advantage Landscape: A County-by-County Guide

Arizona’s Medicare Advantage (MA) market will include 148 plans in 2027, up from 133 this year, while the average monthly plan premium falls from $4.47 to $2.81, according to CMS. Arizona has more than 1.56 million eligible Medicare beneficiaries, and all will have access to a $0-premium MA plan when annual enrollment opens Oct....
Arizona News

Banner Health Earns Forbes Recognition as One of America's Best Employers for Healthcare Professionals

Banner Health earned the title for the second consecutive year, and it's the only Arizona-headquartered health system among the 250 organizations recognized. The ranking is based on an independent survey of more than 30,000 healthcare professionals and more than 1 million employer evaluations collected over three years. Respondents...
AHCCCS Revises Predictions for Members Impacted by Work Requirements Arizona News

AHCCCS Revises Predictions for Members Impacted by Work Requirements

Arizona's Medicaid agency has provided updated projections showing that the number of members who may need to report work requirements has dropped from about 417,000 in the adult expansion population to about 104,000, due to numerous exemptions and those identified as already working. During last week's Arizona Healthcare Financial...
National News

HealthSpring Narrows MA Footprint As More Insurers Prioritize Profitable Markets

Health Care Service Corporation (HCSC) will reduce its HealthSpring Medicare Advantage (MA) footprint in 2027, joining a growing number of insurers discontinuing plans, leaving markets and cutting benefits to improve margins. HealthSpring-branded MA plans will be available in approximately 450 counties next year, down from 580 in...
Arizona News

CMS Cancels 760,000 Marketplace Enrollments, Freezes New Broker Registrations

CMS has canceled approximately 315,000 Affordable Care Act Marketplace enrollments covering more than 760,000 people after determining the enrollments were unauthorized. The federal crackdown will also temporarily close the door to new Marketplace agents and brokers. Under the new interim final rule, agents and brokers without an...
White Papers, E books, Reports and more

Issue Brief: A 3-Part Strategy for Better Commercial Health Insurance

The Georgetown Issue Brief focuses on a set of reforms to the major medical commercial market health insurance–the coverage provided to an estimated 161 million Americans through their employer or directly purchased through ACA Marketplaces. The authors make the case for change, contending that health insurance for Americans is...
Arizona News

National Institute on Aging to Award $22.5M to Arizona's Alzheimer's Disease Research Center

Arizona scientists have secured a five-year federal grant expected to total nearly $22.5 million to advance the early detection, treatment and prevention of Alzheimer’s disease and related disorders. The five-year renewal supports the continued work of the Arizona Alzheimer’s Disease Research Center, or ADRC, which has been advancing...
Arizona News

SCAN Expands Retail Strategy With Walmart-Branded Medicare Plans

Walmart is making another move into Medicare Advantage, partnering with fast-growing SCAN Health Plan to develop co-branded plans that could link insurance coverage with the retailer’s pharmacy, vision, food and over-the-counter services. The companies said the plans will launch in two states and could be available to more than 2...
The 2026 Medicare Advantage Data Edition Data Resources

The 2026 Medicare Advantage Data Edition

Before the 2027 Annual Enrollment Period (AEP) begins, Arizona healthcare leaders need a clear view of where the Medicare Advantage market has been—and where it appears to be heading. The Hertel Report’s 2026 Arizona Medicare Advantage Data Edition provides that foundation, tracking the enrollment, product and competitive shifts...
Arizona Comings & Goings

Phoenix Children's: New Leadership Announcements

Phoenix Children’s has added two senior executives to lead its nursing workforce and its foundation's operations. Tarra Kerr has been appointed senior vice president and chief nursing officer, overseeing strategy and operations for more than 2,100 nurses at the pediatric health system. Her responsibilities include workforce...
AMA Releases CPT 2027 Code Set National News

AMA Releases CPT 2027 Code Set

The American Medical Association released its 2027 Current Procedural Terminology (CPT) code set, with 453 editorial changes designed to reflect new medical technologies and evolving clinical practices. The update includes 299 new codes, 74 revisions and 80 deletions and takes effect Jan. 1. One of the most significant changes...
Arizona News

HHS SAMHSA Total Awards $383M - AHCCCS Receives $4M to Expand 988 Capacity

HHS awarded $383.4 million through the Substance Abuse and Mental Health Services Administration to strengthen behavioral health treatment, prevention and crisis response nationwide. Nearly two-thirds of the funding, $252 million, is directed toward the 988 Suicide & Crisis Lifeline, suicide prevention and mobile crisis...
News

AHCCCS and Community Partners Launch KeepMyAHCCCS.com

Work requirements could affect nearly 417,000 AHCCCS members statewide, and the new website will serve as the agency's primary public resource for explaining who may be subject to the requirements, who may qualify for an exemption and what members may need to do to maintain coverage. The Arizona Health Care Cost Containment System...
National News

UHC Drops Prior Authorization on Range of Services Across Market Segments

UnitedHealthcare (UHC) announced Tuesday that it will eliminate prior authorization requirements for approximately 1,700 medical procedure codes beginning Oct. 1, advancing its pledge to reduce the amount of care requiring approval by 30% by the end of 2026. The changes apply to the insurer’s commercial, Medicare Advantage, Medicaid...
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