CARE Act Seeks Medicare Reimbursement for On-Scene EMS Care to Reduce ER Visits
The CARE Act proposes a Medicare pilot program to reimburse EMS providers for on-scene care, aiming to reduce unnecessary ER visits and enhance EMS capacity.
Strategies to Sustain Rural Hospitals Amid Medicaid Cuts and Healthcare Challenges
Explore how rural hospitals are adapting to Medicaid cuts and workforce challenges through innovation and targeted strategies to maintain healthcare access in rural America.
Novo Nordisk, Eli Lilly Cut GLP-1 Prices for Expanded Medicare Market Access
Novo Nordisk and Eli Lilly agree to lower GLP-1 drug prices in exchange for expanded Medicare and Medicaid coverage, marking a major shift in U.S. drug pricing and access.
U.S. Expands Medicare Coverage and Negotiates Lower Prices for Weight-Loss Drugs
The Trump administration announces agreements with Eli Lilly and Novo Nordisk to lower prices and expand Medicare coverage for weight-loss drugs like Wegovy and Zepbound, effective 2026.
Medicare Advantage Plan Challenges and Federal Rule on Medical Debt Reporting
Explore Medicare Advantage plans' network restrictions and the CFPB's federal rule preempting state laws banning medical debt credit reporting. Key insights for healthcare insurers and providers.
Medicare Home Health Reimbursement Cut Looms Amid Shutdown Delay
The 2026 Medicare home health final rule release is delayed due to the government shutdown. Proposed 9% reimbursement cuts spark industry-wide concern and strategic responses from key providers and advocacy groups.
CMS Approves Coverage for Renal Denervation in Uncontrolled Hypertension Under CED
CMS issues National Coverage Determination for FDA-approved renal denervation treatment under Coverage with Evidence Development for uncontrolled hypertension in Medicare patients.
Stellar Health's MSSP ACO Achieves $5M Medicare Savings with Tech-Enabled Model
Stellar Health's MSSP ACO surpasses Medicare average savings with $5M saved in 2024, leveraging tech-enabled micro-incentives to improve provider performance and patient outcomes in value-based care.
High Costs and Political Influence Cloud Medicare Skin Substitute Policy
Explore how political donations and regulatory delays have impacted Medicare coverage and spending on costly skin substitute products lacking scientific validation.
Growth in Special Needs Plans (SNPs) Drives Medicare Advantage Enrollment
Special Needs Plans (SNPs) are driving significant growth in Medicare Advantage enrollment in 2025, with chronic condition and dual-eligible SNPs leading gains. Institutional SNPs decline amid evolving care models.