CMS introduces the WISeR Model in six states to optimize prior authorization using AI, aiming to reduce low-value services and Medicare costs starting 2026.

UnitedHealth Group increases premiums by 20-30% and raises 2025 earnings guidance despite Medicare pressures and DOJ scrutiny, signaling efforts to stabilize margins and adapt to regulatory challenges in the U.S. insurance market.

CMS's CY 2026 Home Health Prospective Payment System Final Rule incorporates industry advocacy, easing payment cuts but challenges remain amid rising costs and evolving Medicare Advantage models.

CMS launches the ACCESS Model, a 10-year test of outcome-aligned payments for Medicare FFS chronic care using technology-supported services, enhancing care coordination and quality outcomes.

September 2025 data shows stabilizing hospital margins with increasing patient volumes. Site-neutral payment policies and AI-driven documentation shifts impact reimbursement and operations.

Explore GE HealthCare's services for maintaining biomedical equipment to ensure peak performance and readiness in healthcare settings.

CMS introduces the ACCESS Model, a 10-year test of outcome-aligned payments to enhance technology-supported chronic disease management for Medicare fee-for-service beneficiaries.

Explore how AI-driven healthcare benefits startups like Angle Health are addressing the largest employer healthcare cost increase in 15 years by improving transparency, automation, and access for small businesses.

CMS's WISeR Model introduces AI-powered prior authorization for Medicare outpatient procedures, impacting approval times and denials in six states starting 2026.

The HHS OIG report reveals Medicare Part B overpayments for continuous glucose monitors and supplies, recommending rate reductions to align with supplier costs and enhance program efficiency.