CMS proposes a 6.4% cut in 2026 Medicare payments to home health agencies, driven by PDGM budget neutrality adjustments and expanding Medicare Advantage enrollment. HHAs must assess financial impacts, advocate, and optimize operations.
Agilon Health reports Q2 2025 results with $1.4B revenue, leadership changes, and suspends 2025 guidance amid Medicare Advantage market challenges and strategic operational shifts.
CMS proposes 2.4% Medicare payment increase for outpatient and surgery centers in 2026 with a new two-tier physician payment model to promote value-based care participation, amid concerns over long-term financial sustainability for providers.
Clover Health partners with IPC Digital Health to launch a community pharmacy pilot in New Jersey, leveraging AI and local pharmacists to improve medication adherence and health outcomes for Medicare Advantage members.
Medicare's underpayment to physicians is accelerating the U.S. doctor shortage and threatening healthcare access. Proposed payment reforms aim to realign Medicare reimbursement with practice costs and value-based care.
Explore how the Affordable Care Act reshaped U.S. healthcare marketing and strategy over 15 years, emphasizing consumer focus, digital innovation, and value-based care.
Colorado's Journey of Care introduces a dedicated value-based palliative care model targeting Medicare Advantage and special needs plans with interdisciplinary services and telehealth support.
Innovative Texas palliative care model leverages data analytics to reduce hospitalizations over 50%, enhancing outcomes and lowering costs for Medicare Advantage plans.
UnitedHealth Group reports significant OptumHealth underperformance driven by higher Medicare Advantage utilization and risk adjustment challenges, raising profitability concerns and prompting strategic prioritization of patient engagement.
Reveleer acquires Novillus to enhance its AI-driven value-based care platform, improving payer-provider collaboration, care gap closure, and clinical intelligence for health plans.
