Tag: Healthcare Policy

CMS and FDA Launch ACCESS and TEMPO Programs to Promote Outcome-Based Chronic Care

CMS and FDA introduce ACCESS and TEMPO programs to foster value-based reimbursement and regulatory flexibility for digital health technologies targeting chronic conditions starting 2026.

27% of U.S. Adults Lack Dental Insurance, Survey Shows Need for Coverage Expansion

The 2024 State of Oral Health Equity in America survey finds 27% of U.S. adults lack dental insurance, highlighting the need to expand Medicare, Medicaid, and ACA dental benefits to improve systemic health outcomes.

Legislation Targets AI-Based Medicare Prior Authorization Pilot in Washington

U.S. Senators propose legislation to halt CMS AI-powered Medicare prior authorization pilot in six states including Washington due to care delay concerns.

Legislation Targets AI-Driven Prior Authorization Pilot in Traditional Medicare

New legislation challenges CMS's AI-driven prior authorization pilot (WISeR) in Traditional Medicare, highlighting concerns over patient access and provider burden.

ACA Premium Tax Credits at Risk in Arkansas, Impacting Over 140,000 Residents

Affordable Care Act premium tax credits in Arkansas may expire next year, risking coverage for 140,000+ residents and causing higher insurance premiums. Ongoing federal negotiations continue.

House GOP Moderates Challenge Leadership on ACA Subsidy Extensions as Deadline Looms

House GOP moderates diverge from leadership on extending ACA premium subsidies amid looming expiration, risking coverage loss for millions and impacting the U.S. health insurance market.

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.

ACA Premium Tax Credit Expiration Raises Costs for 275,000 Wisconsinites in 2024

The expiration of ACA Enhanced Premium Tax Credits will cause health insurance premiums to double for 275,000 Wisconsinites starting January 2024. Senate Republicans blocked extensions, impacting affordability for small businesses and families.

U.S. Pediatric Uninsured Rates Rise, Impacting Child Cancer Outcomes

In 2024, over four million U.S. children were uninsured, the highest rate in a decade, worsening pediatric cancer diagnosis delays and mortality. Fragmented insurance and Medicaid enrollment gaps drive coverage loss.

Pennsylvania Faces Significant Premium Hikes in Obamacare Marketplace Without Federal Subsidies

Pennsylvania's Obamacare marketplace premiums may nearly double in 2026 if federal tax credits expire, impacting thousands of enrollees and market stability.