New Hampshire Bills Propose AI Audit Limits and Telehealth Reimbursement Parity
New Hampshire considers bills imposing AI audit restrictions on health insurers and establishing telehealth reimbursement parity, with penalties for noncompliance.
CMS Updates on Medicare Drug Price Negotiation and 340B Rebate Litigation
CMS announces changes to Medicare drug price negotiations; ongoing litigation surrounds 340B rebate model and state drug pricing laws, affecting Medicare Advantage plans and Part D reimbursement.
CMS and FDA Launch ACCESS and TEMPO to Expand Tech-Enabled Medicare Care
CMS and FDA announce ACCESS and TEMPO initiatives to expand technology-enabled care for Medicare beneficiaries with chronic conditions, focusing on outcomes-based payments and regulatory enforcement discretion.
CMS Updates Medicare Coverage for Skin Substitute Products in 2026
CMS updates Medicare Local Coverage Determinations for skin substitute grafts in 2026, impacting coverage for diabetic foot and venous leg ulcers with evidence-based criteria and new product classifications.
MedPAC Discusses 2027 Medicare Payment Updates and Policy Adjustments
MedPAC reviews and recommends 2027 Medicare payment updates including base payment adjustments, Medicare Safety-Net Index changes, and outpatient payment policies.
NCOA Advocates for Medicare Outreach Funding Extension to Aid Older Adults
NCOA and partners push Congress to reauthorize funding for Medicare outreach under MIPPA, enhancing healthcare affordability for low-income seniors and older adults.
Medicare Cognitive Screening: Early Detection and Coding Compliance Guide
Explore Medicare cognitive screening during Annual Wellness Visits, early detection of cognitive impairment, and compliant ICD-10 coding (G31.84) to ensure accurate documentation and billing practices.
FlyteHealth Selected for CMS ACCESS Model to Advance Cardio-Kidney-Metabolic Care
FlyteHealth recognized by CMS for its precision cardio-kidney-metabolic care model in the Medicare ACCESS program, advancing scalable chronic disease management with AI and personalized interventions.
Medicare Prescription Drug Plan Market Faces Financial Pressure and Rising Subsidies
Medicare Part D drug plan market under financial stress as taxpayers fund record-level subsidies to health insurers amid rising costs and program challenges.
ADA Seeks Representative for Medicare CPT Valuation Advisory Role
The ADA invites nominations for a representative to join an AMA advisory committee influencing Medicare payment calculations for dental CPT codes. Learn about the role and impact on dental insurance reimbursement.