Rep. Pfluger Addresses Government Shutdown Risks and GOP Health Plans
Rep. August Pfluger discusses potential January government shutdown risks and GOP health plan strategies affecting healthcare policy and insurance market regulation.
HHS Advances Lyme Disease Diagnostics and Patient Care with LymeX Renewal
HHS renews LymeX Innovation Accelerator to boost AI-driven diagnostics and expands Medicare support for Lyme disease patients, advancing national care strategies.
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.