Hospital at home providers navigate complexities during shutdown
When the government entered a partial shutdown Oct. 1, hospitals across the country faced a major task: discharging, relocating or...
CMS drug negotiations boost rheumatological care access
As physicians who treat life-threatening autoimmune disease, we are problem solvers, adept at prescribing diagnostic tests and medications to improve...
How states are thinking about CMS’ $50B rural health fund
Details and guidelines handed down by the federal government earlier this month on applications for the $50 billion Rural Health...
20% of members in plans with 4-plus stars for 2026
Humana said Thursday that about 20% of its members are currently enrolled in plans that will have at least four...
Telehealth waivers expire Oct. 1 as shutdown inches closer
Medicare beneficiaries stand to lose access to two key virtual care programs that the federal government has offered since the...
Federal judge strikes down 2023 risk adjustment rule in win for Medicare Advantage plans
Medicare Advantage (MA) insurers scored a major court win this week when a federal judge struck down a Biden-era regulation...
Docs say Medicare payment rates continue to pressure finances
Physicians are asking for greater certainty around Medicare reimbursement, arguing that compounding payment decreases over time have drastically increased the...
Medicare ACOs saved $2.4B in 2024, setting a new program record
Accountable care organizations saved Medicare $2.4 billion last year, according to new federal data. The Centers for Medicare & Medicaid...
Unite Us CEO Dan Brillman top contender for Medicaid director
Speculation has been swirling about who might take the top Medicaid job in the Trump administration. Among the top contenders:...
New CMS data suggest future ACA market turmoil
The Centers for Medicare & Medicaid Services (CMS) this week released new data fueling a narrative of rampant broker fraud...
