Tag: Healthcare Policy

GAO Report Reveals Errors and Fraud Risks in Obamacare COVID-Era Subsidies

GAO finds significant errors and fraud risks in Obamacare's enhanced premium tax credits amid debates on subsidy extension and healthcare costs.

Republican Debate Intensifies Over Extending Enhanced ACA Subsidies

Key insights into the Republican debate over extending COVID-era enhanced ACA subsidies, exploring fiscal impact, insurer incentives, and fraud concerns in U.S. healthcare policy.

CMS Finalizes 2026 Medicare Physician Fee Schedule with Key Updates for Osteopathic Doctors

CMS finalized the 2026 Medicare Physician Fee Schedule and Quality Payment Program rule, including updates on conversion factor and MIPS thresholds impacting osteopathic physicians.

CMS Issues Guidance on Medicaid Community Engagement and Eligibility Reforms

CMS releases new guidance for states on implementing Medicaid community engagement and eligibility reforms under the Working Families Tax Cut legislation to promote sustainability and efficiency.

Congress Urged to Extend Enhanced ACA Premium Tax Credits to Protect Coverage

Urgent call for Congress to extend enhanced ACA premium tax credits to prevent major increases in Marketplace health insurance premiums and protect coverage for millions, especially women and low-income populations.

Medicare Telehealth Flexibilities Extended Through January 2026 Under H.R. 5371

H.R. 5371 temporarily extends key Medicare telehealth flexibilities through January 2026, restoring pandemic-era policies and directing CMS to update claims processing guidance.

UT Tyler Inducts 11 MHA Students Into National Health Admin Honor Society

The University of Texas at Tyler inducted 11 Master of Health Administration students into the Upsilon Phi Delta Honor Society, recognizing excellence in health care administration education and leadership.

CMS Launches AI-Powered Prior Authorization Pilot in Medicare to Reduce Waste

CMS is piloting an AI-driven prior authorization program in traditional Medicare across six states to reduce wasteful services and healthcare costs, amidst concerns over delays and administrative burdens.

CMS Rescinds Biden-Era Nursing Home Minimum Staffing Mandate

CMS rescinds Biden-era minimum staffing standards for nursing homes, citing burdens on rural facilities. Public comments open through Feb 2026.

Medicare Coverage of Botox: Medical Uses, Requirements, and Costs

Explore Medicare coverage guidelines for Botox focusing on FDA-approved medical uses, prior authorization, medical necessity, and cost factors under Medicare Part B and Advantage plans.