Policy and Legislation
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.
The representatives want a two-year extension for APTCs and guardrails to prevent improper payments.
The National Conference of State Legislatures' Sarah Jaromin talks about how its public databases track every state's AI legislation, helping lawmakers stay informed as states debate ethical healthcare AI deployment.
The lawmakers say the tool used by CMS is riddled with errors, while beneficiaries have not been notified.
Around 800 laboratory tests will be subject to the payment cuts on Jan. 1, 2026, threatening patient access to diagnostics, letter says.
States want early and clear guidance from CMS so they can move forward with system upgrades ahead of the Jan. 1, 2027, deadline.
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.
Managed Medicaid plans offer suggestions on rollout of work requirements.
Insurers are raising their rates, on average, by 26% in 2026, KFF says.