New Medicare Compliance Regulations Effective January 2026: Key Changes
Explore the new Medicare compliance regulations effective January 2026 and learn how to navigate the key changes impacting providers and suppliers.
Jackson Hospital Sued Blue Cross Blue Shield Over Reimbursement Practices
Jackson Hospital sues Blue Cross Blue Shield over reimbursement disputes, risking jobs and care quality in Alabama, seeking $250M+ in damages.
CMS Terminates Medicare Advantage Contract with American Health Plan of Texas
Discover the implications of CMS's contract termination with American Health Plan of Texas and the critical role of compliance in Medicare Advantage plans.
Senate GOP Vote Ends ACA Premium Subsidies, Driving Sharp Insurance Cost Hikes in Illinois
Illinois faces major ACA premium hikes after Senate GOP blocks extension of enhanced premiums tax credits, risking coverage for 160,000 residents and increasing financial strain on healthcare providers.
Penn Highlands Healthcare Supports Multiple Medicare Advantage Plans for 2026
Penn Highlands Healthcare participates in various Medicare Advantage Plans for 2026, including UPMC for Life Plans, with some regional limitations in Pennsylvania.
Northwest Human Services Expands Medicaid Care Amid Contract Disruptions in Oregon
Northwest Human Services in Salem, Oregon expands Medicaid primary care access by absorbing displaced patients following contract issues with PacificSource, navigating funding challenges amid state and federal policy changes.
UW Medicine to Lose In-Network Status for Certain Insurance Plans in 2026
UW Medicine, including Husky Health Center, will be out-of-network for some insurance plans in 2026, increasing patient costs. Verify plan status and explore options.
Navigating Regulatory Complexities of Data Exchange in Value-Based Care
Explore the regulatory frameworks influencing data exchange in value-based care, including CMS rules, HIPAA, and state requirements. Understand operational challenges in healthcare data governance.
Medicare Telehealth Flexibilities Extended After Government Shutdown Ends
Medicare telehealth flexibilities extended through January 2026 following government shutdown, with CMS issuing updated enrollment and billing guidance to Medicare providers.
Medicare Advantage Growth Raises Care Access and Cost Concerns for Providers
Medicare Advantage plans see rising enrollment amid care access and cost challenges for providers and beneficiaries, prompting regulatory scrutiny and legislative proposals.