medicare
US Halts Medicaid Funds to Two States
US halts over $1 billion in Medicaid funds to California and Minnesota due to medicare fraud concerns and payment claims issues.
Scaling Value Based Care Requires Key Capabilities
Scaling value based care requires key capabilities and a solid data foundation for success in healthcare payments.
Judge halts Trump rules cutting ACA markets
A federal judge halts Trump administration rules cutting ACA market protections, preserving coverage access and subsidy eligibility for enrollees.
Congress Targets Doctor Pay and Pricing
Congress targets doctor pay and pricing with new Medicare reform bills that impact doctor reimbursement and patient care costs.
Senate Republicans defeat Medicare prior‑authorization pilot
Medicare prior-authorization pilot survives Senate Republican vote, keeping AI-driven checks in six states as Democrats fail to end the program.
Medicare pay cuts loom for doctors
Medicare pay cuts loom for doctors in 2027 under new reimbursement rules, affecting all physicians with conversion factor cuts, which will lower…
HCA lowers 2026 profit outlook on insurance losses
HCA Healthcare lowers its 2026 profit outlook due to $400M in insurance losses from ACA coverage drops, reshaping hospital revenue.
Expiring ACO REACH generates more Medicare savings
New data shows ACO REACH savings hit $2.5 billion in 2024 as the value-based care pilot nears its 2026 expiration, with $988…
Ascension acquires Williamson Health in $1B deal
Ascension acquires Williamson Health in a $1B deal, expanding its Tennessee portfolio with the regional health system based in Franklin.
Medicare bonuses to hit 13 billion dollars
Medicare bonuses to hit $13 billion in quality bonus payments to Medicare Advantage plans this year, a significant increase from last year's…