Medicare
publication date
Payer
Rising Health Costs Push Some Middle-Aged Adults To Skip the Doc Until Medicare
The ACA has been a key source of healthcare coverage for people 50 through 64.
Innovation
Solving the Home Care Quandary
Paid home care represents an especially strained sector of the long-term care system, which is experiencing an intensifying labor shortage...
CEO
Contributed Content: Winning Through Independence—The Only Response to Medicare Uncertainty
The 2026 Medicare Physician Fee Schedule rewards office-based care while squeezing hospital-centric models, spurring a structural strategic shift, argues this...
CEO
CMS Overpaid Many Hospitals After Change Healthcare Cyberattack, While Hundreds Missed Out
New analysis shows CMS' payments following the Change Healthcare outage overcompensated most hospitals, underpaid others, and left some without any...
Innovation
Providers Get Good News on Hospital at Home, Telemedicine Prescription Waivers
A proposed five-year extension of the CMS Acute Hospital Care at Home (AHCaH) waiver has passed the House and is...
Revenue Cycle
CMS Finalizes 2.6% Payment Bump, Confirms Expansion of Site-Neutral Payments in 2026 OPPS Final Rule
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
The news comes as CMS reaffirms reimbursement during the shutdown and reverses a much-criticized policy on listing the provider's home...
Innovation
Infographic: CMS Moves the Needle Forward on RPM Reimbursement
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
In ending the federal shutdown, Congress has extended telehealth and Hospital at Home waivers until the end of January 2026....
Payer
Contributed Content: Beyond Coverage: How Clinical Strategy and Engagement Are Shaping the Future of Medicare Advantage
The next chapter of Medicare Advantage is being defined by the most forward-thinking plans?those aligning clinical strategy with member engagement...
Innovation
RPM Reimbursement: One Step Forward, Two Steps Back?
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
While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some...