Accounting & Financial Management
The decision was the latest chapter in ongoing litigation between Humana and CMS over the validity of its star ratings.
Volatility of Trump's tariff policies is causing executives to take a wait and see approach, says advisor.
Primary care physicians see an average pay increase of only 1.4%, while specialists experience an even smaller increase of 1%.
CMS also proposes to update the outlier threshold so that estimated outlier payments remain at 2% of total payments.
AMA wants Optum to stop its approach for recouping loans and to suspend all claim filing deadlines.
Adjustments are estimated to total $196.5 million in 2026, CMS says.
House GOP members are demanding cuts of at least $1.5 billion in federal spending, but Senate Republicans are divided.
Declining physician payments and rising operational costs place emergency medicine at financial risk, RAND finds.
This translates to $25 billion for MA insurers in 2026.
While the current climate is putting a "chill" on healthcare decision-making, hospital volumes and operating margins remain steady.