New US legislation aims to prevent insurance companies from acquiring independent health clinics, addressing rising healthcare costs and market consolidation.

Medicare to pilot AI-driven preauthorization program in six states as federal budget cuts threaten program funding and patient access.

Stay informed on the latest Q3 2025 developments in the Inflation Reduction Act's impact on pharmaceutical supply chains, Medicare negotiation programs, and drug pricing reforms with the Mintz IRA Update.

CMS ends Medicare provider agreement with Magnolia Ridge in Alabama due to failure to meet health and safety standards, leading to termination of Medicare payments for new admissions and impending facility closure.

Dining Out For Life fundraiser supports Milwaukee's Vivent Health in covering HIV medication costs and addressing insurance coverage gaps through community dining events.

2024 report shows skilled nursing improper payments at 17.2%, double Medicare average. Strong compliance and thorough documentation crucial to avoid audits and fraud allegations.

Congressional hearing explores policies to enhance Medicare coverage and transparency for breakthrough medical technologies, aiming to improve senior access and healthcare outcomes.

OIG finds nursing homes underreporting major injury falls affecting accuracy of CMS Care Compare data; CMS to enhance compliance and reporting measures.

Explore financial assistance programs like Medicare Savings Program and Extra Help that help Medicare beneficiaries manage out-of-pocket healthcare costs and prescription drug expenses.

Medicare audits are becoming more frequent and aggressive, leading to inflated repayment demands. Learn how statistical challenges, independent coding reviews, and specialty expertise can protect healthcare providers from exaggerated audit outcomes.