Anthem Blue Cross and Blue Shield in Ohio and OhioHealth finalize a multi-year network participation agreement ensuring uninterrupted access for members across all plan types, emphasizing value-based care metrics.
A detailed analysis of the 2025 Medicare Trustees Report outlines financial projections and key cost drivers including Medicare Advantage's impact and reimbursement challenges.
HCA Florida Kendall Hospital in Miami performed its first robot-assisted transforaminal lumbar interbody fusion led by neurosurgeon Michael Fromke, utilizing new robotic technology to enhance spinal surgery precision and outcomes.
The recent Republican tax legislation will trigger automatic Medicare payment cuts starting in 2026 due to sequestration mandated by the Budget Control Act, impacting provider reimbursements through 2034.
Rhode Island Attorney General updates consumer resources on UnitedHealthcare Medicare Advantage plan changes due to Brown University Health network removal and CMS special election period.
States to apply September for $50B Rural Health Fund amid Medicare cuts; concerns over urban hospitals dual-classified as rural impacting fund allocation.
CMS's price-substitution policy has saved $76 million for Medicare by correcting drug pricing identified by the Office of Inspector General, improving cost efficiency while maintaining access.
Krishna Gidwani pleaded guilty to conspiracy in a $4M Medicare fraud involving durable medical equipment. Part of DOJ's 2025 National Health Care Fraud Takedown.
Medicare faces evolving opportunities and challenges in covering weight loss drugs through legislation like the Treat and Reduce Obesity Act and federal demonstration projects. Drug adherence and cost-effectiveness remain key issues.
CMS's 2026 Physician Fee Schedule proposal advances Medicare telehealth with expanded behavioral health codes, remote monitoring updates, and virtual Diabetes Prevention Program delivery, shaping long-term digital care integration.
