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publication date

Revenue Cycle
CMS Finalizes 2.6% Payment Bump, Confirms Expansion of Site-Neutral Payments in 2026 OPPS Final Rule
Luke Gale | November 26, 2025
CMS has issued a final OPPS rule for 2026, confirming a net 2.6% payment update, plans to expand site-neutral payment...
Innovation
Study: Virtual Care Visits Dropped During the Shutdown
Eric Wicklund | November 25, 2025
The news comes as CMS reaffirms reimbursement during the shutdown and reverses a much-criticized policy on listing the provider's home...
Payer
Complaints About Gaps in Medicare Advantage Networks Are Common. Federal Enforcement Is Rare.
KFF Health News | November 20, 2025
Government documents show CMS does little to enforce long-standing rules intended to ensure about 35 million plan members can see...
Innovation
Infographic: CMS Moves the Needle Forward on RPM Reimbursement
Eric Wicklund | November 19, 2025
With its final 2026 Medicare Physician Fee Schedule, the agency is making it a little easier for healthcare organizations to...
Innovation
Healthcare Leaders Are Hamstrung by On-Again Off-Again Telehealth Waivers
Eric Wicklund | November 14, 2025
In ending the federal shutdown, Congress has extended telehealth and Hospital at Home waivers until the end of January 2026....
Innovation
RPM Reimbursement: One Step Forward, Two Steps Back?
Eric Wicklund | November 13, 2025
CMS is expanding coverage for remote patient monitoring in its 2026 Medicare Physician Fee Schedule, while a major payer is...
Revenue Cycle
Prior Auth Requirements for Traditional Medicare Ignite Debate
Luke Gale | November 06, 2025
While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some...
CMO
Physician Fee Schedule Final Rule Includes One-Time 2.5% Payment Increase
Christopher Cheney | November 06, 2025
Healthcare groups including the American Medical Association say Medicare's payment policies for clinicians remain broken.
Innovation
CMS Offers Good News, Bad News for Telehealth
Eric Wicklund | November 03, 2025
The 2026 Medicare Physician Fee Schedule boosts virtual care in hospitals and skilled nursing facilities, but complicates reimbursement for providers...
Payer
Trump's HHS Orders State Medicaid Programs to Help Find Undocumented Immigrants
KFF Health News | November 03, 2025
The push burdens states with duplicative verification checks and could lead people to lose coverage just for missing paperwork deadlines.
Payer
Podcast: Happy Open Enrollment Eve!
KFF Health News | October 31, 2025
Open enrollment for 2026 Affordable Care Act plans starts in most states Nov. 1.
CFO
Patient Experience Is a C-Suite Imperative — Yet ROI Remains Elusive
Marie DeFreitas | October 31, 2025
As patient experience becomes the defining strategic priority for healthcare executives, CFOs face growing pressure to justify the financial return...
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