News
Oz previews new plan to push states toward revalidating Medicaid providers
5+ hour, 10+ min ago (365+ words) CMS Administrator Mehmet Oz, M. D. , on Tuesday previewed the agency's next steps in its effort to root out fraud, waste and abuse in Medicaid. The head of the Centers for Medicare & Medicaid Services said during a session at Politico's Health Care…...
CMS gives Medicare Advantage rates a 2. 48% bump for 2027 plan year in final rule
2+ week, 23+ hour ago (674+ words) Following significant industry outcry against a proposal that would keep Medicare Advantage rates largely flat for 2027, the Trump administration has bumped payments up slightly in the final policy. The Centers for Medicare & Medicaid Services initially proposed a 0. 09% increase in rates…...
Uninsured patients drive nearly 40% of healthcare collections: Cedar survey
3+ week, 57+ min ago (426+ words) Nearly 40% of healthcare collections now come from uninsured patients, up 54% in the past three years, a new report from Cedar found. The health tech company surveyed 4, 150 patients across the U. S. and analyzed 1. 5 billion patient interactions." "More healthcare costs are being pushed…...
RWJF: Between 5 M and 10 M people could lose Medicaid coverage in 2028 under work requirements
3+ week, 5+ day ago (298+ words) As many as 10 million people could lose Medicaid coverage in 2028 following the rollout of new work requirements established under H. R. 1, a new study shows. The report notes that states have significant leeway in how to implement work requirements, and categorized potential…...
Insurance groups say proposed flat Medicare Advantage rates fail to meet the moment
1+ mon, 3+ week ago (773+ words) The Trump administration has proposed flat rates in Medicare Advantage (MA) for 2027, and insurers argue in new commentary that those levels do not reflect the realities of the program. In late January, the Centers for Medicare & Medicaid Services (CMS) released…...
CMS unveils new initiatives aimed at cracking down on healthcare fraud
1+ mon, 3+ week ago (546+ words) The Trump administration announced late Wednesday new steps it says are designed to crack down on fraud. The new push, which comes just one day after President Donald Trump highlighted the White House's focus on fraudulent behavior across multiple social…...
Low pay rates for Medicare's ACCESS Model will pressure digital health margins: Capstone
1+ mon, 3+ week ago (642+ words) The health tech industry cheered when Medicare announced a new 10-year payment model to encourage the use of technology to treat chronic diseases. But, the lower-than-expected reimbursement rates introduce the risk of negative profit margins for model participants, according to…...
Vi VE 2026: Good Rx launches direct-to-employer platform aimed at lowering drug costs
1+ mon, 3+ week ago (709+ words) LOS ANGELES " There's been a flurry of recent activity in the direct-to-consumer space as drug costs and spending continues to rise. It's with that backdrop that Good Rx announced Tuesday that it would launch Employer Direct, a new program that…...
Trump required hospitals to post their prices for patients. Mostly it's the industry using the data
2+ mon, 3+ day ago (698+ words) The idea echoes a policy implemented during his first term, when Trump suggested that requiring hospitals to post their charges online could ease one of the most common gripes about the health care system'the lack of upfront prices. To anyone…...