Coverage, quality, and the economics of how care gets paid for.
Today’s adjustment offers insight into what the next phase of the program is focusing on and will subsequently reward, and why this moment matters, especially for newer and regional plans. The post Medicare Advantage’s Big Decision: Reset or Retreat? appeared first on MedCity News .
The Centers for Medicare and Medicaid Services' (CMS') new Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model will begin July 5, 2026.
AI documentation tools are genuinely useful. But they are treating a symptom, not the disease. The disease is that physicians have lost control over how they work. The post AI Won’t Fix Physician Burnout — Giving Them More Autonomy Will appeared first on MedCity News .
KFF Health News gives readers a chance to comment on a recent batch of stories.
Squeezed between their young children and aging parents, the sandwich generation is juggling a lot. KFF Health News Midwest correspondent Cara Anthony discusses embracing her identity as a caregiver and which resources are available to Washington, D.C., residents caring for family members.
An estimated hundreds of thousands of children, many of them U.S. citizens, have been separated from a parent in the Trump administration’s immigration crackdown. Their distress manifests in physical and mental health symptoms including developmental regression, stomachaches, sleep problems, and falling grades. Research points to long-term health consequences.
KFF’s analysis found that the average number of issuers offering plans on the Marketplaces declined to 9 issuers per state in 2026, compared to 9.6 issuers per state in 2025. The post KFF: Insurer Participation in ACA Marketplaces Is Down appeared first on MedCity News .
The Centers for Medicare and Medicaid Services (CMS) released a proposed decision memo on the National Coverage Determination (NCD) for TAVR, introducing changes to coverage pathways, evidence development and quality oversight.
Objectives Composite indices provide an opportunity to measure the reach of multisector strategies as countries progress towards Sustainable Development Goals and the achievement of nutrition, health and other sectoral targets. Composite measures allow for the measurement of nutrition and health intervention coverage across sectors and can be used to benchmark progress, track nutrition goals and assess inequities of multisector nutrition interventions. Of the many composite indices in use to measure health and nutrition intervention coverage and population status as a means of assessing…
Four years after the Volunteer State enacted the nation’s first law allowing drugstores to sell ivermectin without patient-specific prescriptions, dozens of pharmacies dispense the drug in highly concentrated pills — many with the help of one anti-vaccine physician.
Amid advancements in treatment and screening, more Americans are surviving the disease. But many are left with psychological scars, such as lingering anxiety and depression.
Congressional Democrats are seeking to overturn a Trump administration rule they say will hamper Obamacare coverage. Whether they win or lose any floor vote, they’ll likely use it in campaign messaging ahead of the midterms.
In the Original Investigation titled “Workforce and Staffing at 988 Suicide & Crisis Lifeline Centers,” published May 5, 2026, the grant number in Funding/Support was incorrect. It should be grant 5R01MH135034, not 1R01MH132551. This article has been corrected.
In a recent NCQA Fireside Chat, Nevada Assemblywoman Tracy Brown-May shared a glimpse into the challenges and opportunities shaping healthcare in her state. Drawing on her experience as both a legislator and nonprofit leader, our conversation touched on what it takes to build a health system that works for everyone—especially the people who are often […] The post NCQA Fireside Chat: Nevada’s Approach to Sustainable, People-Centered Health Policy appeared first on NCQA .
The proposed Medicare coverage change could help Edwards Lifesciences gain market share from Medtronic and Boston Scientific, an analyst said.
The American Diabetes Association Applauds Governor Jeff Landry on the Passage of Senate Bill 433, Expanded Access to Obesity Medications for Medicaid Enrollees vcramer Tue, 06/16/2026 - 13:03 Advocacy News The American Diabetes Association Applauds Governor Jeff Landry on the Passage of Senate Bill 433, Expanded Access to Obesity Medications for Medicaid Enrollees Baton Rogue, LA June 16, 2026 The American Diabetes Association® (ADA) applauds Governor Jeff Landry and the Louisiana legislature for their bipartisan support of Senate Bill 433 (SB 433), landmark legislation expanding Medicaid…
Mehmet Oz, head of the Centers for Medicare & Medicaid Services, framed the $50 billion Rural Health Transformation Program as “bold, creative plans” led by states. But as states have started to roll out their plans, federal officials control where and how the money is spent.
In the U.S., more than a dozen kinds of cancer are on the rise among people under 50. The HealthQ team shares the latest guidance on being proactive with your family and doctor.
Health Policy
This cohort study investigates the association of access to specialized cancer care with plan disenrollment among Medicare Advantage enrollees with new cancer diagnoses.
MultiCare CFO James Lee said decades of government underpayment have pushed U.S. healthcare to a breaking point. He thinks the nation is headed toward a two-tier system — one for patients with commercial coverage, and another for those covered through CMS. The post Multicare CFO: Decades of CMS Underpayment is Creating an Unfair Two-Tiered System appeared first on MedCity News .
The ACC submitted comments to the Centers for Medicare and Medicaid Services (CMS) regarding the fiscal year 2027 Inpatient Prospective Payment System (IPPS) proposed rule.
The Trump administration finalized a rule that embraces new types of Obamacare coverage, including 30% higher out-of-pocket costs for some plans, and a more novel approach that allows insurers to offer coverage without set networks of doctors and hospitals.
After congressional Republicans let expanded subsidies for Affordable Care Act plans expire at the end of last year, some families have decided the price is too great of a financial burden and canceled their coverage.