Susan Morse
The CR would extend Medicare telehealth flexibilities, including acute hospital care at home and allow for retroactive payments.
AHA has “substantial concerns” over the vendor payment structure in WISEeR that incentivizes denials at the expense of physician judgment.
States are asked to send letters of intent to apply for the GENEROUS model that launches in 2026.
One health system told the ATA it would cost $1 million a year to comply with the billing mandates of the physician fee schedule final rule.
Around 800 laboratory tests will be subject to the payment cuts on Jan. 1, 2026, threatening patient access to diagnostics, letter says.
Just as the FDA approves medical devices, there needs to be a pathway and a reviewing board to verify whether an AI model is credible, says Pluto CEO.
Certain procedures are shifting to outpatient settings, a trend supported by the growth of Ascension's Ambulatory Surgery Center partnerships.
The 2.5% increase was voted into law in July in the One Big Beautiful Bill Act.
Insurers are raising their rates, on average, by 26% in 2026, KFF says.
Tightening of MA market affects broker commissions and choice, says Urban Institute report.