A new report from the Peterson Center on Healthcare and KFF, titled “How does cost affect access to healthcare?” explores the significant financial barriers many Americans face when trying to access medical care. Published on April 7, 2025, the analysis… Read More ›
On April 9, 2025, the Health Tech Investment Act was introduced in the Senate, seeking to encourage the use of “cutting-edge” artificial intelligence (AI)-enabled medical devices by ensuring appropriate payment for the use of such devices under the Medicare program…. Read More ›
On May 22, 2025, the Centers for Medicare & Medicaid Services (CMS) announced updated guidance (“guidance”) concerning the Hospital Price Transparency Rule, which requires hospitals operating in the U.S. to publish a list of standard charges for items and services… Read More ›
In April 2025, the American Hospital Association (AHA) released a report outlining the “key trends impacting hospital financial stability” in 2025. Entitled “The Cost of Caring: Challenges Facing America’s Hospitals in 2025,” it argues that there is a “perfect storm”… Read More ›
The Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology (ASTP) is currently working to finalize Version 6 of the standardized set of health data classes and constituent data elements for nationwide, interoperable health information exchange,… Read More ›
WHAT: Request for Information on Digital Health Products On May 16, 2025, federal health agencies published a request for information (RFI) that “seeks input from the public regarding the market of digital health products for Medicare beneficiaries as well as… Read More ›
The U.S. District Court for the Eastern District of California, in an order filed March 31, 2025, issued a mixed ruling on Cigna’s motion to dismiss the PxDx algorithm-focused putative class action (Kisting-Leung, et al. v. Cigna Corporation, et al.),… Read More ›
The Centers for Medicare & Medicaid Services (CMS) finalized important updates impacting prior authorization of care processes within the Medicare Advantage (MA) program. These changes, detailed in the CMS 2026 Medicare Advantage Final Rule (“Rule”), aim to enhance beneficiary protections… Read More ›
On April 7, 2025, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2026 Rate Announcement and final rule for Medicare Advantage (MA) and Part D programs. Notably absent from this final regulation were specific guardrails… Read More ›
The effective date for the telehealth rules “Expansion of Buprenorphine Treatment via Telemedicine Encounter” and “Continuity of Care via Telemedicine for Veterans Affairs Patients” has been delayed to December 31, 2025. The first rule amends related regulations to expand the… Read More ›