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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

Urban Institute Report: Medicaid Plans Using AI with Little Oversight

Artificial intelligence (AI) is rapidly spreading through state Medicaid programs—mostly through the managed care organizations (MCOs) that administer them. A new Urban Institute report finds these tools are increasingly used for risk...
Rural Health Transformation Program: Arizona Seeks $1 Billion to Shore Up Rural Healthcare as Federal Cuts Loom

Rural Health Transformation Program: Arizona Seeks $1 Billion to Shore Up Rural Healthcare as Federal Cuts Loom

Arizona has applied for $1 billion in federal funding to stabilize rural health systems already under pressure from workforce shortages, low reimbursement rates, and growing patient demand. The move comes as Gov. Katie Hobbs and rural hospital leaders brace for deeper challenges tied to President Donald Trump’s new budget package,...
Hospitals Buying Up Physician Practices - Cardiac and Surgical Specialties Lead Primary Care National Reports & Surveys

Hospitals Buying Up Physician Practices - Cardiac and Surgical Specialties Lead Primary Care

Recent data released from the National Bureau of Economic Research found that from 2008 to 2016, acquisitions increased for cardiologists, up 38.4% and general surgeons (28.1%), followed by moderate increases for primary care (18.1%) and OB/GYN (20.4%), economists found. The Kaufman Hall infographic below is based on a bureau working...
Arizona News

Auditors Reveal Persistent Complaint Backlogs Across Key Arizona Healthcare Licensing Boards

Arizona’s health professional licensing boards are responsible for protecting patients by responding to complaints, investigating misconduct, and taking action when practitioners may pose a risk to the public. But a series of September Sunset Reviews from the Arizona Auditor General found that several of the State’s healthcare...
Federal Review Finds Many of the Nation’s Lowest-Performing Nursing Homes Backslide After Leaving CMS Quality Oversight Program News

Federal Review Finds Many of the Nation’s Lowest-Performing Nursing Homes Backslide After Leaving CMS Quality Oversight Program

The Office of Inspector General (OIG) found that the Special Focus Facility (SFF) program, intended to improve care at chronically underperforming nursing homes, is not achieving lasting results. Nursing homes with the worst health inspection survey scores in a State are eligible for the SFF program. OIG reported that nearly...
Just Released: Arizona Marketplace Premiums in 2026 - Big Double Digit Increases Arizona News

Just Released: Arizona Marketplace Premiums in 2026 - Big Double Digit Increases

Arizona Marketplace rates are up across metal levels and age groups in 2026. The initial analysis of rates released Wednesday, October 29 from the Arizona Department of Insurance and Financial Institutions (DIFI) reveals that monthly premium increases YOY range from an increase of 18% for older couples seeking the most expensive Gold...

Healthgrades Recognizes 19 Arizona Hospitals for Specialty Excellence

The annual recognition highlights hospitals that rank among the top 10% nationwide for clinical outcomes in 16 specialty areas, including stroke care, orthopedics, gastrointestinal surgery, and more. Several Arizona hospitals are honored for the first time this year while others are repeatedly high performers in selected...
News

Report: Return of ACA Subsidy Cliff Predicted to Make Healthcare Unaffordable for Middle-Class Families

As Congress debates federal spending and the fate of enhanced premium tax credits (EPTCs), the Urban Institute warns that allowing the current subsidy enhancements to expire in 2026 would sharply raise coverage costs for millions of middle-income Americans. Without congressional action, the Affordable Care Act’s 400% federal poverty...
PAPER: Popular & Effective GLP-1s Offer Strong Value but Pose Major Budget Challenge

PAPER: Popular & Effective GLP-1s Offer Strong Value but Pose Major Budget Challenge

Authors contend semaglutide (Wegovy) and tirzepatide (Zepbound) are likely to strain health system budgets if broadly prescribed. The Institute for Clinical and Economic Review (ICER) rated three obesity treatments—including a pending oral semaglutide formulation—as “A” compared with lifestyle changes and estimated...
AHCCCS Continues RFP Reform Roundtables to Medicaid Plans, Providers & Members Following Contested ALTCS Awards Arizona News

AHCCCS Continues RFP Reform Roundtables to Medicaid Plans, Providers & Members Following Contested ALTCS Awards

AHCCCS and consultant Pacific Health Policy Group (PHPG) are seeking stakeholder input to reshape the agency’s RFP process before releasing the 2026 ALTCS-EPD solicitation and the multibillion-dollar ACC rebid that will succeed current contracts ending Sept. 30, 2028. Arizona's Medicaid agency, The Arizona Health Care Cost Containment...
Arizona News

Arizona Health Systems Receive Nearly $500K to Expand Children’s Care

In Flagstaff, Northern Arizona Healthcare’s Children’s Health Center received a $270,000 donation from UnitedHealthcare Community Plan of Arizona to upgrade pediatric rehabilitation and diagnostic services. Also this week, the Scottsdale Saguaros granted $250,000 to the Banner Health Foundation to support Banner Children’s...
Arizona News

ALTCS Emergency Rule & Policy for Minor Children - DES to Delay Hour Reductions for DDD Families

Arizona Governor Katie Hobbs has ordered the Arizona Health Care Cost Containment System (AHCCCS) to create an extraordinary care exception process for children with intellectual and developmental disabilities whose families need more direct care or habilitation hours than allowed under the state’s new standardized assessment...
White Papers, E books, Reports and more

Fact Sheet: The Crucial Role of $0 Premium Plans in the Affordable Care Act Marketplaces

Nearly four in ten Arizonans enrolled through HealthCare.gov this year paid nothing for their monthly health insurance premiums, a direct result of enhanced federal subsidies that expanded the reach of $0 premium plans across the Affordable Care Act Marketplace. That dynamic—how free coverage keeps enrollment high and stabilizes...
News

Policy Brief: How to Reform the CMS Innovation Center with a Choice and Competition Approach

A new policy brief from the influential Washington-based Paragon Health Institute warns that Congress should either reform or shut down the CMS Innovation Center, arguing the program has failed to deliver meaningful savings or quality improvements despite costing taxpayers billions. The report concludes that, after more than a decade of...
News

REPORT: Four Steps to Successful Value-Based Payment

This Center for Healthcare Quality & Reform report argues most value-based payment programs have failed to meaningfully reduce healthcare costs or improve patient outcomes. In many cases, spending has actually increased, while patients with complex needs have found it harder to access adequate care. The problem isn’t lack of...
REPORT: Initial Guidance to Support Responsible AI Adoption Across U.S. Health Systems News

REPORT: Initial Guidance to Support Responsible AI Adoption Across U.S. Health Systems

The Joint Commission and the Coalition for Health AI (CHAI) have released their first national framework to help U.S. healthcare organizations safely implement artificial intelligence in care delivery. The document, Guidance on Responsible Use of AI in Healthcare, serves as internal governance for hospitals and health systems adopting AI...
Arizona News

$8B DSH Cut Hits as Congress Stalls, Arizona Hospitals Ready for Impact

In October, a whopping $8 billion reduction in Disproportionate Share Hospital (DSH) payments took effect. More cuts are queued up for January 2026 and January 2027, bringing the total hit to $24 billion. Meanwhile, the government shut down on Oct. 1, and the House isn’t even in session—so don’t expect relief soon. State...
Medicare Advantage Star Ratings Hold Steady for 2026 - Arizona MA & PDP Star Ratings Arizona News

Medicare Advantage Star Ratings Hold Steady for 2026 - Arizona MA & PDP Star Ratings

Last Thursday, the Centers for Medicare & Medicaid Services (CMS) released its 2026 Medicare Advantage and Prescription Drug Plan quality star ratings. In Arizona, shoppers won’t find a 5-star plan available in the state, but established carriers, including AZ Blue, CVS/Aetna, Humana, SCAN, and UHC are offering 4.5 Medicare...
Average PDP Premiums Edge Lower for 2026 as Insurers Scale Back Offerings in Arizona Arizona News

Average PDP Premiums Edge Lower for 2026 as Insurers Scale Back Offerings in Arizona

Medicare beneficiaries will see slightly lower average monthly premiums for stand-alone prescription drug plans (PDPs) in 2026 nationally and in Arizona, even as the number of plans continues to shrink. According to newly released CMS data, nearly all of the 10 national PDPs continuing into 2026 are lowering monthly premiums in most...
Arizona News

AHCCCS PMPM Capitation Rates Rise 5% Effective October 1, 2025

On September 5, 2025, AHCCCS submitted its actuarial analysis and draft 2025–2026 capitation rates for managed care organizations (MCOs) to the Joint Legislative Budget Committee (JLBC). On October 1st the AHCCCS rates became effective with an overall per-member-per-month (PMPM) capitation rate growth of 5.18% across all Arizona...
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