The Strengthening Medicare for Patients and Providers Act proposes indexing Medicare physician payments to the Medicare Economic Index to reflect economic realities and stabilize reimbursement.

CMS has permanently updated the Medicare "incident to" supervision rule, allowing virtual physician supervision for billing, changing longstanding Medicare billing compliance requirements.

Mercy and Wellvana form a 20-year partnership to expand value-based care programs for independent primary care providers across multiple states, leveraging advanced population health and payer models.

Aetna, under CVS Health, integrates clinical reviews and AI-driven solutions to enhance prior authorization and streamline healthcare for providers and members.

Explore the CMS CY 2027 Proposed Rule's impact on Medicare Advantage quality measures, Star Ratings, and integration of dual-eligible members with Medicaid. Key insights for health plans and state agencies.

Researchers developed a validated risk-prediction tool estimating 1-year mortality risk in advanced CKD patients, enhancing personalized treatment decisions between conservative care and dialysis.

Medicare open enrollment for 2026 ends Dec 7. Learn how Medicare Advantage plans benefit seniors and impact insurance providers and payers.

Statewide Health Insurance Benefits Advisors (SHIBA) provides free, unbiased insurance counseling sessions on December 6 to assist consumers in navigating health insurance options and benefits.

NYU Langone Health and other hospitals sue HHS over Medicare DSH funding changes that reduce federal support for low-income patient care, challenging retroactive rule application and regulatory process.

HHS Office of Inspector General urges CMS to recover $3 million in overpayments and enhance billing accuracy through improved claim reviews and system edits to ensure regulatory compliance.