Susan Morse
AMA wants Optum to stop its approach for recouping loans and to suspend all claim filing deadlines.
The proposed rule removes measures for health equity, vaccines for healthcare staff and the social drivers of health.
The American Hospital Association voiced concern over that rate and a 2.6% increase for long-term care hospitals.
Healthcare organizations need to increase revenue while cutting expenses and find ways to personalize the patient experience.
Starting Jan. 1, 2026, payers must send prior authorization decisions within 7 days and expedited decisions within 72 hours.
Any regulatory response to nursing home "deficiencies" must be consistent with legislation governing nursing homes, ruling says.
This translates to $25 billion for MA insurers in 2026.
Senate HELP committee asked the HHS secretary to participate in a hearing on the reorganization of HHS.
CMS declined to cover obesity drugs, as proposed under the Biden administration.
Oz takes the helm amid a political divide surrounding potential Medicaid budget cuts and the appointment of HHS Secretary RFK Jr.