MorningStar Laboratories launches SmartVascular Dx test in Western US with expanded payer coverage including BCBS Arizona and Medicare, enhancing vascular disease detection and reimbursement access.
Congressman Schweikert introduces H.R.3467 to auto-enroll seniors in Medicare Advantage with a three-year lock-in, raising questions on beneficiary rights and plan flexibility.
The Congressional Budget Office warns the new tax and spending law may trigger nearly $500 billion in Medicare cuts over 10 years via S-PAYGO sequestration, impacting providers, rural hospitals, and Medicare Advantage plans.
Study finds hospital involvement in Medicare ACOs does not significantly change emergency department admission rates, length of stay, or costs, suggesting current ACO models have limited impact on acute care spending.
The August 2025 EMS Financial Index from PWW Advisory Group delivers critical financial benchmarks and reimbursement trend analysis to support EMS agencies' revenue cycle management and financial stability amid changing regulations.
A Texas federal judge has denied Elevance Health's legal challenge against CMS's Medicare Advantage star ratings, reaffirming the complex regulatory framework influencing insurers' government bonus payments.
Explore how CMS's Medicare Advantage Star Rating system's opaque methodologies create regulatory arbitrage and financial risks for insurers like Elevance Health, Humana, and UnitedHealthcare, shaping the healthcare insurance landscape.
Explore Medicare coverage limitations for Saxenda, a GLP-1 agonist approved for weight loss, and the implications for obesity drug access and insurance plan strategies.
CareOregon will discontinue out-of-network behavioral health coverage for Medicaid and Medicare Advantage members, impacting 15,000 patients in Oregon. The change aligns with industry practices post-COVID-19 expansion.
The Congressional Budget Office will publish updated federal budget deficit estimates, demographic trends, and economic forecasts for fiscal year 2025, incorporating recent legislative and administrative changes.
