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 ›
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 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 Department of Health and Human Services (HHS) released its AI Strategic Plan in January 2025, establishing a comprehensive approach to artificial intelligence. The Plan’s Overview states that it “provides a framework and roadmap to ensure that HHS fulfills its… Read More ›
New legislation in California regulates communications by health care providers who use artificial intelligence in communications with patients. Specifically, an addition to the state’s Health and Safety Code entitled “Artificial Intelligence in Health Care Services” requires a disclaimer that… Read More ›
Earlier this year on September 20, 2024, Plaintiffs filed their Opposition papers to Cigna Corporation’s and Cigna Health and Life Insurance Company’s (collectively, “Cigna”) motion to dismiss their lawsuit challenging Cigna’s use of an AI algorithm to allegedly automatically deny… Read More ›
New regulations requiring Medicare Advantage (MA) organizations to ensure non-discriminatory use of artificial intelligence and automated systems have been proposed by the Centers for Medicare & Medicaid Services (CMS). These AI provisions are part of a broader proposed rule titled… Read More ›