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...
Providers face $32B in lost 2026 revenue if ACA subsidies expire
Allowing Affordable Care Act enhanced premium tax credits to expire at the end of this year would slash $32.1 billion...
How Medicaid work requirements will dent hospital margins
A new Commonwealth Fund analysis estimates U.S. hospitals’ annual operating margins will drop by 12.5% to 14.2% in 2027 should...
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...
House Republicans propose 6% budget cut to HHS for FY2026
The House Appropriations Committee is proposing a 6% cut to the budget for the Department of Health and Human Services...
HHS taps Jim O’Neill as acting CDC director
The Department of Health and Human Services (HHS) has named an interim director to lead the Centers for Disease Control...
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...
