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...
CVS agrees to $12M settlement with Massachusetts AG
CVS has agreed to a $12.25 million settlement with Massachusetts that resolves allegations that it charged members of its 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:...
KFF analysis finds a median ACA premium hike of 18% for 2026
Health insurers are seeking steep premium increases on the Affordable Care Act’s exchanges next year, according to a new analysis...
HHS finalizes rule for prescription drug cost transparency
The health IT arm of the Department of Health and Human Services finalized a rule this week that federal leaders...
Early filings suggests ACA premiums will spike in 2026
With plenty of policy questions still up in the air, a new report suggests insurers are set to propose steep...
RFK Jr. fires 2 top aides at HHS in department shake-up
Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. ousted his chief of staff and a deputy...
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...
Providers prepare contingency plans amid regulatory shifts
Hospitals, health systems and physician practices are shifting their operational and financial strategies in the face of rapidly changing federal...