Proposed CMS rule would set prior auth deadlines for drugs
The Trump administration has issued a proposed rule that aims to significantly overhaul prior authorization for pharmaceuticals. Through the Interoperability...
CMS proposes 2.4% hospital pay increase, mandatory model rollout
The Centers for Medicare & Medicaid Services has proposed a 2.4% payment rate bump for inpatient services for fiscal year...
Satisfaction with payer apps improves with familiarity: JD Power
Consumer experiences with insurers’ digital platforms improve as they become more familiar with the tools, and supporting uptake offers a...
Ambience Healthcare launches AI copilot for nurses
Ambience Healthcare rolled out Chart Chat for Nursing, touting it as the first electronic health record-integrated artificial intelligence conversational tool...
A look at 3 years of Blue Shield of California’s Virtual Blue
Blue Shield of California’s Virtual Blue plan continues to see positive results for enrolled members, including an overall 7% to...
White House floats 12.5% budget cut for HHS in FY2027
The White House is asking Congress for a $15.8 billion fiscal year 2027 discretionary budget cut for the Department of...
GAO audit outlines CMMI’s limited scale-ups, draws new criticism
A Government Accountability Office audit of the Center for Medicare and Medicaid Innovation Center’s historical spending and the outcomes of...
Hospitals want Congress to refine long-term care hospital pay
Hospital associations have laid out their policy wish list for Congress regarding long-term care hospitals (LTCH), calling for refinements to...
Providence trims 2025 operating loss to $132M, notches Q4 gain
Providence made another substantial dent in its annual operating losses as it pared back non-core service, reduced its headcount and...
3 more drugs in the pipeline Optum says payers should watch
A new oral GLP-1 therapy and the first preventive option for COVID-19 are among the pipeline drugs that payers and...
