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.
Understand the Medicare Part A requirements for skilled nursing facility coverage, including qualifying hospital stays, coverage limits, and copay costs essential for healthcare professionals and insurers.
The One Big Beautiful Bill Act (OBBBA) establishes statutory caps on state-directed payments in Medicaid managed care, centralizing federal control and impacting value-based payment reforms. CMS expected to issue guidance on implementation.
Explore recent legislative updates expanding Health Savings Account eligibility, telehealth coverage pre-deductible, and treatment of direct primary care plans with significant budgetary impacts through 2034.
Georgia faces significant health insurance premium hikes and nursing home closures due to recent federal budget cuts, raising concerns over Medicaid funding and healthcare access in the state.
New study reveals Medicare spends $3.6 billion annually on low-value medical services, with $800M in patient costs. Policy changes could reduce waste and improve value.
CMS's 2026 Medicare Physician Fee Schedule proposal emphasizes value-based payment increases, expanded telehealth flexibilities, new chronic care payment models, and significant Medicare spending reductions for skin substitutes.
Recent Republican-led legislative changes delay Medicare drug price negotiations for costly cancer treatments, maintaining high patient costs and impacting seniors and disabled Americans.
CMS is considering a pilot program to cover GLP-1 drugs for obesity under Medicare and Medicaid, reversing earlier policy. This evolving coverage changes obesity drug access for patients and payers.
Marking 60 years of Medicare and Medicaid, recent legislation threatens major cuts increasing costs and reducing coverage for millions, including New Hampshire residents.
