Medicare & Medicaid
The proposed rule removes measures for health equity, vaccines for healthcare staff and the social drivers of health.
CCA insures nearly 50,000 Massachusetts residents who are dually eligible for Medicare and Medicaid.
House GOP members are demanding cuts of at least $1.5 billion in federal spending, but Senate Republicans are divided.
Starting Jan. 1, 2026, payers must send prior authorization decisions within 7 days and expedited decisions within 72 hours.
Any regulatory response to nursing home "deficiencies" must be consistent with legislation governing nursing homes, ruling says.
This translates to $25 billion for MA insurers in 2026.
The quality of payers' digital experiences is lagging behind those of finance and property and casualty insurance, finds J.D. Power.
Senate HELP committee asked the HHS secretary to participate in a hearing on the reorganization of HHS.
The group is advocating for digital healthcare initiatives such as expanded access to virtual care and telehealth.
CMS declined to cover obesity drugs, as proposed under the Biden administration.