Federal Move to Cut Obesity Drug Prices Expands Medicare Coverage
The federal government lowers obesity drug prices and expands Medicare coverage, impacting millions of patients and primary care providers with new access and cost structure.
Medicare Home Health Reimbursement Cuts Reduced to $220M for Next Year
CMS cuts Medicare home health reimbursement by $220M in 2025, less than the proposed $1B reduction. Providers highlight sustainability concerns under current payment model.
CMS Ends Largest U.S. Experiment for Incentivizing Home Dialysis and Transplantation
CMS will end the End-Stage Renal Disease Treatment Choices (ETC) model after studies show it did not increase home dialysis or transplant rates among Medicare patients, signaling a shift in U.S. renal care strategies.
CMS Finalizes 1.3% Medicare Home Health Payment Cut for 2026 Amid Industry Concerns
CMS finalizes a 1.3% Medicare payment cut to home health agencies for 2026, highlighting industry concerns over reimbursement declines, workforce impacts, and care access challenges.
Congress Faces Deadline to Address Expiring ACA Subsidies Amid Premium Spike Risk
Congress must resolve the expiration of Affordable Care Act subsidies to prevent sharp health insurance premium increases and address divided Republican and Democratic approaches amid upcoming midterm elections.
House Extends Medicare Hospital-Level Care at Home Program Through 2030
The U.S. House passes H.R. 4313 to extend the Medicare Acute Hospital Care at Home program through 2030, enhancing reimbursement for hospital-level care provided at home.
Medicare Advantage to Traditional Medicare Switch Linked to Increased Mental Health Visits and Provider Shifts
Study shows Medicare Advantage beneficiaries with mental health conditions increase mental health visits and nurse practitioner use after switching to traditional Medicare, highlighting network access issues in MA plans.
National Nurses United Advocates for ACA Subsidy Extension and Medicare for All
National Nurses United mobilizes nurses and allies in Washington D.C. to urge Congress to extend ACA tax subsidies and pursue Medicare for All, addressing rising premiums and healthcare access challenges.
CMS 2026 Medicare Outpatient Payments Rise 2.6%, Site-Neutral Cuts Take Effect
CMS finalizes 2026 Medicare outpatient payment rule with 2.6% increase, site-neutral payment cuts, and elimination of inpatient-only list impacting hospitals and ASCs.
Medicare Drug Price Negotiations Yield $12 Billion Savings on 15 Key Medications
New Medicare drug price negotiations under the Inflation Reduction Act cut costs for 15 major medications, saving Medicare $12 billion annually.