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CEOs of four health systems testified before the House Ways and Means Committee Tuesday morning.
The pathway will allow the evidence generated for FDA review to support Medicare coverage decisions.
The final rule is expected to be released later in 2026.
Insurers can expect shrinkage in the individual market and a deterioration in the risk pool, says Wakely report.
Fifty percent of the payment will be withheld to be reconciled after a 12-month care process, subject to two downward adjustments.
The complaint alleged corruption by HaloMD, a company that handles the arbitration process for medical billing disputes.
HHS is proposing to adopt certain HL7 FHIR standards and implement specifications for transactions related to prior authorizations.
The proposed rule would also make the Comprehensive Care for Joint Replacement (CJR) Model mandatory beginning on Oct. 1, 2027.
Nineteen states and D.C. are seeking to invalidate a March 2025 directive to reduce the number of HHS employees and eliminate several sub-agencies.
Aetna's policy results in denials and underpayment and violates CMS' Two Midnight Rule, the health system says.
