Tag: healthcare regulation

2025 Drug Policy Cuts Impact Recovery Programs and Medicaid Funding

The 2025 One Big Beautiful Bill Act reduced Medicaid and ACA funding for drug addiction recovery, shifting focus to supply disruption. Impact on treatment access and prevention efforts analyzed.

Ohio Health Department Moves to Revoke Insight Hospital License Over Compliance Issues

Ohio Department of Health plans to revoke Insight Hospital & Medical Center Trumbull's license amid multiple compliance issues, including emergency care and maintenance violations. The case underscores regulatory impacts on hospital operations and certification.

CMS Updates 2024 Therapy Code List for Medicare Billing

CMS updates the annual therapy code list for Medicare, affecting billing practices for therapists, physicians, and other providers reimbursed through Medicare Administrative Contractors.

MedPAC Proposes 7% Medicare Payment Cut for Home Health in 2027

MedPAC recommends a 7% cut to Medicare home health payment rates in 2027 amid stable agency margins and concerns over program integrity and Medicare Advantage impacts.

Australia Faces Challenges in Specialist Care Affordability and Fee Transparency

Australia's specialist care system faces affordability challenges due to inconsistent fees and limited public clinic access. New policies target fee transparency to improve patient access.

Cox HealthPlans Withdraws ACA Marketplace Coverage in Greene and Webster Counties

Cox HealthPlans exits ACA marketplace coverage in Greene and Webster Counties due to financial challenges, affecting patient insurance options and continuity of care in 2026.

NY Lawmakers Call for Health Department Review of Optum's Network Changes

New York lawmakers request health department review of Optum's network exclusions and clinic closures amid Medicaid and Medicare changes affecting healthcare access.

AHA and Partners Urge CMS to Shield ACOs and MIPS Clinicians From Skin Substitute Billing Risks

AHA and coalition urge CMS to adjust Medicare programs to prevent financial penalties on ACOs and MIPS clinicians for increased skin substitute billing linked to inefficiency and fraud.

California Advances Bill to Reduce Student Health Insurance Costs

California's AB 594 targets rising student health insurance costs with new consumer protections starting July 2026, amid federal funding cuts. Learn about its market impact and regulatory implications.

CMS Proposes 2026 Medicare Physician Fee Schedule Changes for Telehealth

The CMS 2026 proposed physician fee schedule includes updates to Medicare telehealth reimbursement, frequency limits, and supervision rules, aiming to codify pandemic-era telehealth flexibilities.