CMS proposes a 6.4% cut in 2026 Medicare payments to home health agencies, driven by PDGM budget neutrality adjustments and expanding Medicare Advantage enrollment. HHAs must assess financial impacts, advocate, and optimize operations.
America's Essential Hospitals leads advocacy to prevent Medicaid DSH cuts and improve Medicare Advantage provider reimbursements during August recess.
Explore detailed insights on Flexible Spending Accounts (FSAs), covering eligible medications, reimbursement processes, and regulatory requirements under U.S. healthcare plans.
CMS approves New Technology Add-on Payment for Renata Medical's Minima stent, enabling enhanced reimbursement for innovative pediatric congenital heart disease treatment.
Walmart introduces a feature allowing Medicare Advantage members to access plan benefits on Walmart.com, assisting seniors in maximizing healthcare-related savings while shopping.
SafeRide Health ranks No. 358 on the 2025 Inc. 5000 list, marking its rapid growth among U.S. private companies specializing in non-emergency medical transportation for Medicaid and Medicare Advantage populations.
Federal probes into UnitedHealth’s Medicare Advantage billing practices highlight potential increased regulatory oversight for clinical labs and changes to diagnostic data use in billing.
A coordinated firefighting response improves wildfire control while rising health insurance premiums intensify calls for expanded Medicare coverage, impacting insurance underwriting and risk assessment.
Crowell & Moring expands its healthcare litigation practice with 16 partners from Reed Smith, enhancing nationwide legal services across managed care and healthcare law.
CMS 2026 outpatient rule proposes major changes including inpatient-only list elimination and expanded ambulatory surgery center procedures, impacting Medicare payment and compliance.
