Objective: To address concerns about payment adequacy in Medicare Advantage (MA) plans, a 2017 federal policy change increased risk scores and associated capitated payments for community-dwelling ...

Tuesday afternoon, the House of Representatives voted in favor of a spending bill that includes major pharmacy benefit manager (PBM) reforms aimed at increasing price transparency for consumers and ...

In 2026, investors may be more targeted in their investments. The state of Texas may also continue to evaluate the impact of ...

The Bundled Payments for Care Improvement Advanced Model (BPCI-A) aims to reduce hospital spending and generate savings for the Centers for Medicare and Medicaid Services (CMS). The design of BPCI-A ...

This week, federal agencies prepare for a partial government shutdown as the Senate advances an appropriations agreement that, if passed, will move ...

Health care in 2026 will be marked by an environment of volatility and fissures in coverage that will ripple through all ...

Consumers are losing healthcare coverage or buying lower-tier plans after after Congress did not extend enhanced premium tax ...

President Donald Trump's reforms target hospital monopolies and hidden fees to lower healthcare costs and empower patients.

After enhanced Affordable Care Act subsidies expired going into 2026, the retired Georgia couple saw their monthly Marketplace premium jump from $1,600 to $3,200, which is nearly $39,000 more for the ...

To ensure your wellness visit is covered, stick to what is typically included in the visit. Asking questions about your recurrent hip pain or an upset stomach could result in the physician adding ...

The Trump administration’s immigration crackdown is not just roiling politics but also directly affecting the provision of ...

Fifty health centers in Massachusetts, which serve a million patients a year, are straining under an "assault" from federal ...