The midterm election is right around the corner, and healthcare costs are a top issue on the ballot, tied with gas prices, according to a KFF poll published Oct. 6. With major races taking place across the country this fall,…
Policy Updates
DataSpring, powered by CAQH, assembled a collective of insurers, along with the American Medical Association, to launch a new standard to measure provider directory data quality for individual clinicians on Oct. 13. DataSpring, owned by major health insurers, bridges payer…
Recent research has indicated Americans are warming up to “Medicare for All” propositions ahead of the 2026 midterm elections. The latest Axios/Ipsos American Health Index survey polled 1,122 adults in late September. It found that 43% of Americans would support…
Health plans covered by a federal interoperability rule must begin processing prior authorization requests electronically Jan. 1, but the rule’s reach into ASCs may be limited. It excludes many of the payers ASCs depend on most, and the systems that…
CMS shared its Transparency in Coverage rulemaking — formed in partnership with the Labor and Treasury departments — on Oct. 5. Now, payers are reckoning with the changes. The rule updated previous regulations introduced by the Trump administration in 2020,…
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The Trump administration is overhauling federal price transparency rules for payers and self-insured employers, including cutting so-called “ghost rates,” expanding out-of-network price disclosures and requiring executives to vouch for the accuracy of the data. The final rule, released Oct. 5…
The White House said the federal government will send more than 20 million Medicare enrollees one-time $90 payments to help with Part B premiums in early October. An Oct. 2 White House fact sheet said the payments would come from…
CMS has finalized the Global Benchmark for Efficient Drug Pricing (GLOBE) Model, a mandatory payment model that will tie Medicare Part B drug rebates to prices paid in 19 reference countries, according to a Sept. 30 CMS news release. Here…
Elevance Health plans to require hospitals to identify the physical location where care was provided on billing forms and adjust payments for off-campus services accordingly. The insurer said Sept. 29 the new policies will apply across its commercial, Medicare Advantage…
Sen. Mark Warner, D-Va., has introduced a bill that would roll back most of the healthcare cuts under HR 1, add a public option to the ACA exchanges and apply Medicare drug pricing rules to commercial health plans. 10 things…