Medicare's 2025 payment updates introduce advanced primary care and behavioral health codes poised to reshape reimbursement landscapes, addressing primary care financial challenges and influencing specialist payment cuts.
The Patients Over Profits Act aims to prohibit ownership of both health plans and providers to curb vertical integration in Medicare-related markets, impacting major payviders like UnitedHealth Group and influencing U.S. healthcare market competition and regulatory enforcement.
Advertising campaigns targeting GOP lawmakers adopt strategic messaging to support extending Obamacare's enhanced premium tax credits, highlighting political stakes and legislative challenges ahead of year-end expiration.
Medicare to pilot AI-driven preauthorization program in six states as federal budget cuts threaten program funding and patient access.
Michigan Democrats use government funding deadline to push for permanent extension of ACA insurance subsidies to avoid premium spikes.
Congressional hearing explores policies to enhance Medicare coverage and transparency for breakthrough medical technologies, aiming to improve senior access and healthcare outcomes.
The U.S. House advances legislation ensuring Medicare coverage for FDA-authorized breakthrough medical technologies, boosting patient access and streamlining approval processes.
FTC cautions healthcare employers on noncompetes. Rising physician unionization, Medicare Plan Finder updates, Kaiser-Renown joint venture, AI tools, FDA drug approvals, and robotic intubation device mark key healthcare industry trends in 2025.
CMS's 2026 Medicare payment proposals aim to rebalance reimbursements in favor of primary care and outpatient clinics, reduce hospital-owned clinic premiums, and introduce site-neutral payments to improve Medicare value and primary care sustainability.
Modest Medicaid reforms introduced work requirements and eligibility checks amid growing fiscal pressures, but faced significant political resistance despite aiming to preserve coverage for vulnerable populations.
