CMS's current inclusion of noncovered self-administered drug prices in Medicare Part B payment calculations inflates costs for Stelara biosimilars. OIG recommends revising pricing methodology to achieve savings.

Milwaukee’s Outreach Community Health Center braces for a rise in uninsured patients due to potential House GOP decision on ACA subsidies, impacting healthcare coverage and costs in 2026.

Steps of Faith aids amputees missing prosthetic insurance coverage through fundraising events like Thundergong!, raising over $1 million to support prosthetic limb access nationwide.

Senate failure to renew ACA premium subsidies may drive significant premium hikes and coverage losses in 2026, destabilizing the marketplace and impacting millions of enrollees.

Orthopedic surgeon Dr. Erica Rowe Urquhart addresses the rise of silent medical debt due to insurance claim denials and delayed payments, revealing challenges in healthcare billing and patient financial exposure.

Analysis shows some US community health centers file lawsuits and garnish wages to collect medical debt, raising questions about policy compliance and impacts on patient access.

MedPAC recommends Congress stop increasing hospice payment rates as provider margins shrink despite record Medicare hospice utilization and rising costs.

A GAO report reveals extensive fraud risks in ACA marketplace subsidy programs, prompting calls for regulatory reforms to protect taxpayers and improve healthcare affordability.

Senator Bill Cassidy demands transparency from AMA over CPT coding system royalties and licensing fees amidst CMS payment cuts, raising concerns on healthcare reimbursement and costs.

Republicans propose expanding health savings accounts as an alternative to expiring ACA subsidies, but regulatory limits and premium cost challenges raise questions about effectiveness.