Johns Hopkins Medicine ends contract negotiations with UnitedHealthcare after eight months amid disputes over treatment refusal language in employer-based insurance plans. Highlights payer-provider tensions over network participation and patient access.
Explore recent legislative and CMS efforts to reform prior authorization in U.S. healthcare, focusing on bipartisan bill progress, CMS regulations, and new experimental models to streamline Medicare prior authorization processes.
Bipartisan bill reintroduced to authorize Medicare payments for pharmacists providing basic medical services in underserved and rural areas, enhancing healthcare access for seniors.
The MAHA Commission's new strategic report outlines a multi-agency approach to reduce childhood chronic diseases by enhancing hospital nutrition standards, clinical trial engagement, and advancing price transparency regulations.
CMS invites states to apply for the $50B Rural Health Transformation program aimed at improving rural health outcomes, with a Nov. 5 deadline and specific funding rules.
Medicare's 2025 payment updates introduce advanced primary care and behavioral health codes poised to reshape reimbursement landscapes, addressing primary care financial challenges and influencing specialist payment cuts.
California regulators mandate closure of Meritage Health Plan due to solvency failures, prompting reassignment of 11,000 Medicare Advantage members by Oct. 31, 2025. Insurers must ensure continuity of care amid contract terminations.
UnitedHealth Group maintains strong 2026 Medicare Advantage Stars ratings and reaffirms 2025 earnings guidance, signaling stability amid market challenges.
Health Care Service Corporation expands its Medicare Advantage coverage to 30 states and DC, enhancing its national presence with diverse plan options for 2026.
FTC cautions healthcare employers on noncompetes. Rising physician unionization, Medicare Plan Finder updates, Kaiser-Renown joint venture, AI tools, FDA drug approvals, and robotic intubation device mark key healthcare industry trends in 2025.
