David Talby, CEO, John Snow Labs
Last month, the Centers for Medicare & Medicaid Services (CMS) released its 2026 Medicare Advantage (MA) Rate Announcement, projecting a 5.06% average increase in payments to MA plans. That’s…
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What You Should Know:
– The Centers for Medicare & Medicaid Services (CMS) launches its Cell and Gene Therapy (CGT) Access Model, a new approach to delivering cutting-edge treatments for people on Medicaid living with…
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What You Should Know:
– The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule for the Calendar Year (CY) 2026 Medicare Physician Fee Schedule (PFS).
– The proposal aims to increase quality…
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Reva Sheehan, Senior Director, Consumer Insights at mPulse
The new administration shed light on policy issues at the top of providers’ lists for 2025. While topics like physician burnout and Medicare payment reform were included,…
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What You Should Know:
– The newly published AMGA 2025 Medical Group Compensation and Productivity Survey reveals substantial increases in compensation for various clinical specialties in 2024. The comprehensive analysis, encompassing data from over 184,000…
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Top News
CMS announces a six-year pilot in six states to test tech-enabled prior authorization for traditional Medicare, which has traditionally avoided prior authorizations.
Participating organizations will be paid based on reducing inappropriate utilization. CMS…
Hospital organizations across the United States have submitted comprehensive feedback challenging the Centers for Medicare & Medicaid Services (CMS) proposed Inpatient Prospective Payment Systems (IPPS) rule for fiscal year 2026. The public comment period,…
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For the 168th episode of the Healthcare IT Today Podcast, we are talking about CMS' request for input on technology to improve medicine! We kick this episode off by sharing our thoughts on CMS's…
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HHS Launches Groundbreaking Data Sharing Initiatives
The U.S. Department of Health and Human Services has launched groundbreaking initiatives to transform healthcare data sharing. These efforts focus on reducing administrative burdens while empowering Medicare enrollees to…
Ashish V. Shah, Founder and CEO of Dina
The Medicare Advantage (MA) market is at a tipping point, with more than half of all seniors enrolled in an MA plan for their healthcare. Utilization of…
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