Medicare reimbursement for physician GI procedures fell over 22% (2018-2023), while facility payments to ASCs and HOPDs increased, impacting healthcare economics and physician practice structures.

Mark Farrah Associates reports on profitability and performance metrics in the U.S. Individual and Small Group health insurance markets, based on NAIC data and trend analysis.

Sensory therapy in dementia care engages the five senses to improve mood, reduce anxiety, and enhance patient connection in U.S. senior living communities. Learn how this non-pharmacological approach supports long-term memory and emotional well-being.

The Treat and Reduce Obesity Act introduces expanded Medicare coverage for obesity screenings, specialists, and medications, aiming to reduce obesity-related diseases and healthcare costs among seniors.

H.R. 3467 proposes automatic enrollment into low-premium Medicare Advantage plans with a three-year lock-in, raising concerns about beneficiary choice, network limitations, and coverage variability.

The DOJ and HHS have established a joint False Claims Act Working Group to strengthen healthcare fraud investigations using advanced data analytics and interagency cooperation.

In July 2025, DOJ and HHS formed a joint Working Group to intensify False Claims Act enforcement, focusing on data-driven investigations and payment suspensions in healthcare fraud cases.

The DOJ and HHS reestablish the False Claims Act Working Group to enhance enforcement against healthcare fraud and abuse in federal programs, emphasizing compliance and whistleblower roles.

Astrana Health finalizes $708 million acquisition of Prospect Health, expanding its integrated care network and Medicaid, Medicare Advantage, and commercial coverage. The deal enhances provider scale and care delivery capabilities under California's Knox-Keene health plan regulations.

OIG audit finds $100,696 in Medicare overpayments to HRS Home Health, highlighting compliance challenges in home health billing and the impact of CMS oversight.