US government pursues civil forfeiture against two Florida DME companies accused of over $33 million in fraudulent Medicare claims for medically unnecessary equipment and services.

Physician reimbursement rates have declined significantly amid rising workloads and inflation, causing financial strain on practices and impacting patient access. CMS updates and legislative proposals aim to address these challenges.

The 2025 Medicare Trustees Report projects Hospital Insurance trust fund depletion by 2033, with increasing Medicare costs impacting beneficiaries and taxpayers. Explore implications for Medicare policy and finance.

Trump administration proposes a Medicare and Medicaid pilot to cover GLP-1 weight loss drugs, highlighting access benefits alongside fraud and regulatory oversight challenges.

The American Physical Therapy Association advances Medicare payment reforms and expanded physical therapy access through focused advocacy on Capitol Hill, impacting reimbursement and compliance.

The U.S. Department of Justice warns the courts that overturning tariffs imposed under the 1977 IEEPA could trigger a severe economic crisis, impacting Social Security, Medicare, and international trade agreements under review by the Federal Circuit.

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.