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Around 800 laboratory tests will be subject to the payment cuts on Jan. 1, 2026, threatening patient access to diagnostics, letter says.
The 2.5% increase was voted into law in July in the One Big Beautiful Bill Act.
The initiative has generated $4.7 million in member savings since its inception.
Optum Health has been hit by an elevated medical cost trend and will be “refocused” on its original mission.
Providers know instantly what’s covered, payers receive more comprehensive claims and patients know their coverage before leaving the doctor's office, Optum says.
The number of Medicare Advantage plans in the state has been cut from eight in 2025 to three for the 2026 plan year.
The goal is to develop AI-based technology that can assist doctors in real time during heart procedures.
Thirty-four MA plans earned 5 stars in 2026 star ratings.
More than 700 rural hospitals across the United States are at risk of closure due to financial hardship.
