CMS finalizes 2.6% pay bump for hospital outpatient care, ASCs
The Trump administration has finalized the rule that sets government payments to hospital outpatient facilities and ambulatory surgical centers, including...
UnitedHealthcare slashes RPM coverage for most conditions
Despite the momentum of remote monitoring uptake, UnitedHealthcare has quietly pushed out a massive change to its coverage policies that...
CMS finalizes increased pay rates for physicians in 2026
The Centers for Medicare and Medicaid Services released its annual physician pay rule for 2026 on Friday night, which increases...
Average ACA premiums set for 30% spike: Washington Post
Open enrollment for the Affordable Care Act’s (ACA’s) marketplaces is just one week away, and premiums are set for a...
CMS warns states of new Medicaid waiver expectations
The Centers for Medicare & Medicaid Services (CMS) is shifting its policy on Section 1115 Medicaid waivers. In letters to...
CMS floats 2.4% annual outpatient, ASC pay bump for CY2026
The Centers for Medicare & Medicaid Services’ annual pay rate proposal for outpatient and ambulatory surgical centers (ASCs) includes a...
CMS finalizes rule aimed at ‘improper’ ACA exchange sign-ups
The Centers for Medicare & Medicaid Services (CMS) has finalized a rule that it says will address “the surge of...
‘Watching the clues’: Uncertainty clouds Medicare conference
Medicare agents and brokers are trying to get a handle on a rapidly changing health landscape, but, in some respects,...
CMS excludes anti-obesity drug coverage under Medicare, Medicaid
The Centers for Medicare and Medicaid Services (CMS) finalized a Medicare Advantage (MA) rule proposed by the Biden administration, but...
Dr. Oz questioned over Medicaid cuts, promises MA reforms
Mehmet Oz, M.D., or Dr. Oz, faced a wide-ranging set of questions from lawmakers over how he would run the...
