Coverage, quality, and the economics of how care gets paid for.
CMS Administrator Dr. Mehmet Oz outlined the agency’s strategy for making healthcare more affordable during a Tuesday address at the HFMA Annual Conference, touching on everything from Medicare fraud to drug pricing to nutrition. The post The 5 Areas Where Dr. Oz Says CMS Can Make Healthcare More Affordable appeared first on MedCity News .
The American Diabetes Association Applauds Maryland for Removing Barriers to Obesity Treatment Coverage mcarmody Tue, 06/09/2026 - 19:38 Advocacy News The American Diabetes Association Applauds Maryland for Removing Barriers to Obesity Treatment Coverage Annapolis, MD June 9, 2026 The American Diabetes Association ® (ADA) applauds the Maryland General Assembly for passing Senate Bill 496 allowing Maryland Medicaid to cover full obesity treatments, including weight-loss medications, if the state chooses to do so, and notifies patients. The strong bipartisan support from the Maryland General…
GSK’s Nuvalent acquisition brings two lead programs, each addressing different targets for non-small cell lung cancer. The Nuvalent lung cancer drugs are under FDA review and if they’re approved, GSK plans to launch both this year. The post GSK Gets a Pair of Near-Commercial Lung Cancer Drugs via $10.6B Nuvalent Acquisition appeared first on MedCity News .
The research is clear: Among the various complex issues that contribute to suicide, loneliness is a big one. Now, there’s a growing push to address loneliness not just through personal choices but also through public policy.
Anxious kids can benefit from counseling, but therapy demands a commitment of money and time. Therapists recommend using three criteria to help determine when challenging behavior rises to the level of needing professional help.
Healthcare affordability czar Casey Mulligan laid out the economic philosophy guiding the Trump administration’s approach to healthcare costs during a recent conference address. He argued that provider taxes and state-directed payments inflate healthcare spending far beyond Medicaid and ultimately raise costs for employers and taxpayers. The post HHS Affordability Czar Says Healthcare Costs Stem From Incentives, Not Coverage appeared first on MedCity News .
NCQA seeks feedback on a new Accreditation for Advanced Primary Care and updates to Health Plan Accreditation. Reviewers can submit comments to NCQA in writing via the Public Comment website by 11:59 p.m. (ET), Friday, July 10. About NCQA’s Public Comment NCQA releases program updates for public comment to generate thoughtful feedback and suggestions from […] The post Public Comment Is Open! Share Your Feedback on a New Accreditation for Advanced Primary Care and Updates to Health Plan Accreditation appeared first on NCQA .
Health secretary Robert F. Kennedy Jr.’s new autism panel is championing a controversial communication method popular among parents of severely autistic people. Critics warn of abuse — and fake “telepathy.”
Despite widespread support in polls for legalizing aid in dying, the number of people who go through with the practice remains very small.
Healthcare advocates warn that a new CMS rule on Medicaid work requirement exemptions could increase red tape and cause eligible people to lose coverage. The post Will CMS’ Last-Minute Medicaid Work Requirement Changes Cause More Harm? appeared first on MedCity News .
If hospitals are going to stay ahead, revenue cycle leaders must shift from reaction to strategy. Here are some key areas of focus. The post When AI Becomes a Payer Advantage, Hospitals Cannot Afford to Stay Reactive appeared first on MedCity News .
KFF Health News' editor-at-large for public health discussed Ebola, GLP-1 drugs, ultraprocessed food, and more in TV appearances this week.
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The healthcare ecosystem is fixing how quickly decisions get made, without fixing how quickly money actually moves. This isn’t a failure of reform. It’s evidence that reform is working — and revealing where modernization needs to continue. The post The 72-Hour Hurdle: Faster Prior Authorization is Exposing Healthcare’s Broken Billing Cycle appeared first on MedCity News .
Big cuts to healthcare programs in the 2025 GOP budget law are creating an affordability crunch for many Americans: Higher health insurance premiums. Confusion about who Medicaid will cover under the new rules. KFF Health News chief Washington correspondent Julie Rovner explains how the changes could leave nearly 2 million children uninsured.
Come January, pregnancy care physician billing codes will change from a bundled system to an à la carte one. Many obstetricians say this approach will better reflect the amount and type of care they provide. But it could incentivize providers to pile on visits and services.
Travel bans and conflict have disrupted supply chains in the Democratic Republic of Congo, leaving health workers without Ebola tests and protective gear needed to contain the outbreak.
MedCity News Editor-in-Chief Arundhati Parmar and Samir Batra, Managing Partner of Health Innovation Pitch, co-hosts of the Debunked Podcast, discussed the impact of Marty Makary’s resignation from the FDA, among other topics. The post Debunked Episode 27: The Impact of an FDA Commissioner’s Departure, Insider Trading, Microdosing GLP-1s and a Win for Lower Drug Prices appeared first on MedCity News .
The "KFF Health News Minute" brings original health care and health policy reporting from our newsroom to the airwaves each week.
A year after the measure’s passage, a state law is keeping immigrants and their children from accessing Medicaid even when they qualify.
To collect and scrutinize millions of Americans’ health data, U.S. health secretary Robert F. Kennedy Jr. aims to work with state organizations that help health systems share medical records. In Nebraska, millions in federal dollars has flowed into one nonprofit cooperating with Kennedy’s project.
This cross-sectional study identifies organizations engaged in lobbying related to the 340B Drug Pricing Program, estimates their lobbying expenditures, and characterizes their policy priorities.
Statement from the American Diabetes Association on the CMS’s Medicaid Work Requirements Interim Final Rule vcramer Wed, 06/03/2026 - 14:50 Official Statement Statement from the American Diabetes Association on the CMS’s Medicaid Work Requirements Interim Final Rule Arlington, Va. June 3, 2026 This week, the Centers for Medicare & Medicaid Services (CMS) released an interim final rule implementing the new community engagement requirements for Medicaid beneficiaries included in healthcare and tax legislation Congress passed last summer. Beginning January 1, 2027…
Artificial Intelligence (AI) is rapidly reshaping health plan operations. While some organizations are actively piloting or scaling AI solutions, others are still determining where to begin. Regardless of where your organization sits on the AI adoption curve, scaling AI responsibly, transparently and effectively is foundational. Across the industry, initial efforts have focused on defining governance […] The post Shape the Future of AI in Prior Authorization: Apply to Join NCQA’s Learning Collaborative appeared first on NCQA .