CMS Launches AI For Medicare Prior Authorization Across Six States
The Trump administration launches an AI-driven pilot program in six states to manage Medicare prior authorization, raising industry concerns over claim denials and AI incentives.
CMS Launches Prior Authorization Pilot in Traditional Medicare to Control Costs
CMS initiates a six-state pilot requiring prior authorization in traditional Medicare to target overuse and cut costs, testing expanded regulatory controls familiar in Medicare Advantage.
Federal Court Halts ACA Eligibility Changes; Supreme Court Blocks NIH Funding Restoration
Federal court pauses ACA eligibility changes while Supreme Court blocks NIH grant restorations, impacting healthcare policy and funding. Explore implications for insurance and Medicaid expansion.
House Resolution 1 Alters Medicare and Medicaid Eligibility with Broad Market Impact
House Resolution 1 enacts major Medicare and Medicaid reforms, affecting millions of Americans including immigrants and low-income families, with implications for insurance markets and healthcare providers.
Senator Grassley Details Medicaid Funding and Health Policy Impacts in Iowa
Iowa Senator Chuck Grassley outlines Medicaid funding changes under the Big Beautiful Bill, Medicare reimbursement challenges, and bipartisan legislative efforts impacting healthcare and education policy in Iowa.
Ohio Faces Potential Loss of ACA Insurance Subsidies for 500,000+ Residents
Ohio risks losing ACA enhanced premium tax credits for over 500,000 residents, potentially increasing uninsured rates amid Medicaid cuts and rising premiums.
New York Faces Major Health Care Funding Cuts Under One Big Beautiful Bill Act
Medicaid and healthcare funding cuts in the One Big Beautiful Bill Act threaten New York's health system, impacting providers, coverage access, and insurance costs.
Urban Hospitals Exploit Medicare Dual Classification to Access Rural Benefits
Urban hospitals are increasingly using Medicare's dual classification to claim rural benefits, impacting funding for truly rural hospitals and raising policy concerns.
APTA Advocates for Medicare Reimbursement Reform and Access Expansion in Physical Therapy
The American Physical Therapy Association advances Medicare payment reforms and expanded physical therapy access through focused advocacy on Capitol Hill, impacting reimbursement and compliance.
Key Medicaid DSH and Medicare Advantage Advocacy Efforts Over August Recess
America's Essential Hospitals leads advocacy to prevent Medicaid DSH cuts and improve Medicare Advantage provider reimbursements during August recess.