Medicare Lab Payment Cuts: Industry Pushback and Policy Implications
Major clinical laboratory companies are intensifying their efforts to halt scheduled Medicare payment cuts for diagnostic tests set to begin…
Category: Policy Updates
The Growing Federal Crackdown on Diversion Schemes: What Healthcare Providers Need to Know
In December 2024, federal prosecutors secured prison sentences for two Miami men involved in a large-scale scheme that diverted HIV…
Key Updates in CMS 2026 Final Rule: E/M Coding, Telehealth, and Prevention
The Centers for Medicare & Medicaid Services (CMS) released its 2026 Physician Fee Schedule (PFS) final rule, introducing targeted changes…
Medicare Telehealth Updates for 2026
CMS released the Telehealth FAQ for Calendar Year 2026 (updated November 14, 2025). Changes are based on the CY 2026…
The Critical Year-End Task Medical Practices Often Overlook: HIPAA Breach Reporting
As calendar year-end approaches, medical practices face a compliance deadline that many practitioners find either confusing or easy to forget…
Democratic Lawmakers Introduce Eight Bills to Reform Medicare Advantage: A Comprehensive Analysis
Rep. Mark Pocan leads comprehensive legislative package aimed at cracking down on delays, denials, and fraud in Medicare Advantage plans …
CMS Increases Hospital Outpatient Rates 2.6% While Expanding Site-Neutral Payments in 2026
A comprehensive analysis of the final rule that will reshape outpatient billing and reimbursement The Centers for Medicare & Medicaid…
Federal Judge Approves Landmark $7.4 Billion Purdue Pharma Settlement, Ending an Era in the Opioid Crisis
A Long-Awaited Resolution In a pivotal development in the nation’s opioid saga, U.S. Bankruptcy Judge Sean H. Lane has formally…
New York’s Medicaid Oversight Lapses: $10 Million in Claims Flagged Amid Mounting Federal Funding Pressures
A newly released audit from the New York State Comptroller has identified vulnerabilities in the Medicaid program’s third-party liability and coordination of…
UnitedHealthcare’s Remote Monitoring Coverage Cut: Implications for Chronic Disease Management in Medicare
The U.S. healthcare system has shown growing support for remote patient monitoring, but UnitedHealthcare’s recent policy change reverses that progress.…