Medicare & Medicaid

CMS could make changes in 2026 Hospital Outpatient Prospective Payment System.

AAFP, ACP respond with optimism and some critiques in the 2026 Medicare Physician Fee Schedule.

Key regulatory changes that could affect physician pay next year.

RFK Jr., Oz announce 60-day comment period for next year’s plan.

Details will emerge as $1 trillion health care cut becomes largest in nation’s history, policy analysts say.

Here’s a summary about health care regulations and changes coming in the nation’s newest spending plan supported by congressional Republicans.

America’s Physician Groups publish 7 key reasons why the national spending plan is bad for health care.

Bill goes back to House and vote is expected soon as health care organizations predict dire consequences for health care.

From ghost patients and fake genetic tests to DME laundering rings and opioid pill mills, the DOJ’s 2025 health care fraud crackdown paints a sobering picture of a system under attack — and a federal response gaining traction.

New payment model looks to improve patient care by reducing unnecessary treatments.

Justice Department charges 324 defendants, including 96 licensed medical professionals, in sweeping nationwide takedown that reveals a surge in transnational, telehealth and opioid schemes.

HHS, CMS leaders announce massive health insurance industry changes to reform prior authorization across health care.

HHS Secretary RFK Jr. announces changes to cut down on improper enrollments.

Out-of-pocket caps protect high spenders, but many others could see their drug costs rise.

Trustees project Medicare hospital insurance trust fund will be depleted in 2033, three years earlier than expected.

Annual report puts depletion three years ahead of projected schedule in 2024 report.

AMGA survey finds member organizations anticipate major changes if Congress, President Trump slash Medicaid.

Senate Finance Committee publishes language that prompts new round of analysis, warnings for physicians, rural hospitals.

The Resident Physician Shortage Reduction Act of 2025 would add 14,000 Medicare-support training slots over seven years and codify rural residency support.

Reimbursement based on Medicare Economics Index will have a cost but ensure beneficiary access, commission says.

Physicians in supported, full-risk VBC models saw more new Traditional Medicare patients and kept panels open longer.

CMS Innovation Center leader outlines strategy for Making America Healthy Again.

Multi-cancer early detection screenings could get coverage, once approved by FDA.

A discussion with Duke University's Mark McClellan, M.D., Ph.D., about why value-based care hasn’t been adopted more quickly

Speculation mounts on potential changes and timing for federal spending plan already approved in House of Representatives.

MedPAC is a key adviser to Congress on Medicare pay for physicians.

Aledade and ACOs press CMS to fix benchmarking error that could slash shared savings

Balancing the ledger and the mission with up-front payment solutions strengthens access and revenue.

Peterson Center on Healthcare analyzes Medicare data to make policy recommendations for remote patient monitoring.

Caroline Pearson, executive director of the Peterson Center on Healthcare, explains a new analysis of use and payment for remote monitoring technologies.