Medicare Advantage Signal Feed
Latest scored signals across all monitored sources.
729 signals
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CMS withholds $1B in Medicaid payments from California, Minnesota
The government is pausing the payments due to what federal officials called "suspected fraud and noncompliance."
Policy / Regulatory Changes · 70 signals · last 30 days -
CMS issues proposed provider tax rule
The Centers for Medicare & Medicaid Services today released a proposed rule that would update Medicaid provider tax policies included in the July 2025 reconciliation law and change how the agency determines whether certain healthcare taxes comply with federal requirements. States commonly use provider taxes to help finance Medicaid. CMS said the proposed changes are intended to ensure those taxes are not structured in a way that effectively guarantees providers receive their tax payments back...
Policy / Regulatory Changes · 70 signals · last 30 days -
AHA comments to CMS on proposed rule covering Medicaid supplemental payments
The AHA provided comments July 21 to the Centers for Medicare & Medicaid Services on its proposed rule to modify policies governing Medicaid state-directed payments as authorized under the July 2025 reconciliation bill. The rule also includes proposals that are beyond what the statute requires, such as new limits on certain targeted fee-for-service payments and other SDP service types, as well as new limitations on SDP design. The AHA said that CMS’ projection of a $510.1 billion reduction in...
Policy / Regulatory Changes · 70 signals · last 30 days -
Restoring Clinical Capacity: Designing a Frictionless Technology Ecosystem for Primary Care
In this webinar, clinical executives will share practical strategies for reducing administrative burden through more integrated clinical workflows. Rather than asking clinicians to navigate additional applications and technology, leading organizations are embedding automation directly into the tools providers already use to simplify tasks such as patient outreach, care gap management and scheduling.
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HHS defers $1B+ in Medicaid funds to Minnesota, California
HHS and CMS are deferring more than $1 billion in federal Medicaid funds to Minnesota and California, agency officials confirmed July 21. The agencies said they are deferring approximately $867.5 million in payments to California and $199 million to Minnesota after financial reviews flagged claims that require additional assessment before the release of matching funds. […] The post HHS defers $1B+ in Medicaid funds to Minnesota, California appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 70 signals · last 30 days -
UNC Health dismisses 340B underpayment lawsuits targeting Humana
Chapel Hill, N.C.-based UNC Health hospitals have voluntarily dismissed two lawsuits against Humana over alleged 340B drug underpayments, according to July court filings. UNC Health Care System and affiliated hospitals dismissed their case against Humana and ChoiceCare Network July 17 in the U.S. District Court for the Middle District of North Carolina. Separately, Blue Ridge […] The post UNC Health dismisses 340B underpayment lawsuits targeting Humana appeared first on Becker's Payer Issues...
Humana North CarolinaHumana · 14 signals · last 30 days -
HCSC’s chief medical officer departs for data exchange platform Availity
Availity has named Hannah Alphs Jackson, MD, as its first chief medical officer. As CMO, Dr. Jackson will shape the health information network’s clinical strategy and guide the responsible application of technology, automation and artificial intelligence. She will be responsible for ensuring all solutions continue to support providers, health plans and patients through clinically informed, […] The post HCSC’s chief medical officer departs for data exchange platform Availity appeared first on...
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Cigna’s national accounts president returns to BCBS Massachusetts
Erin Lenox has rejoined Blue Cross Blue Shield of Massachusetts as senior vice president of service and operations. Ms. Lenox is responsible for the strategic direction of member, account, and provider service and enrollment and claims operations across the company, according to a July 21 news release. She also oversees the service and operations center […] The post Cigna’s national accounts president returns to BCBS Massachusetts appeared first on Becker's Payer Issues | Payer News .
Cigna + Blue Cross Blue Shield plans · 30 signals · last 30 days -
CCF Comments on State Directed Payments NPRM
The Georgetown University Center for Children and Families submitted the following comments to the Center for Medicare and Medicaid (CMS) and the U.S. Department of Health and Human Services (DHHS) regarding Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments. Read the Comments
Policy / Regulatory Changes · 70 signals · last 30 days -
Voters are split as GOP focuses on fraud
Guthrie says care won't suffer as a result of his committee's probes.
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STAT+: Nabla’s new CEO on plan to gain market share in a competitive AI scribe environment
Ambient scribe developer Nabla said Brian Manning will be the Paris-based company's new CEO as it looks to grow in a highly competitive market.
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Bayada’s new CEO on joint ventures: ‘We want skin in the game’
Bayada CEO Bryony Winn says future home health joint ventures with health systems will take payer and patient mix into account.
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Hospitals rethink discharge plans as post-acute options narrow
Hospitals are preparing for longer stays, fewer post-acute referral partners and higher costs as federal fraud scrutiny reshapes discharge planning.
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As digital health M&A grows, 2025 buyers show progress
Digital health buyers that made acquisitions in 2025 are beginning to show results in 2026 through new partnerships and broader services.
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Cardinal inks 2 acquisitions in bid to expand at-home services
The company agreed to buy a diabetes health business and medical supplier Strive Medical to boost its growing in-home solutions unit.
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Opinion: How a controversial rule could hurt the NIH’s ability to manage risk
The proposed rule could “weaken the NIH’s benign influence over research risks,” writes Doni Bloomfield.
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Tax Regulations: Opportunities Exist to Improve Economic Analysis and Taxpayer Engagement
What GAO Found The Department of the Treasury and the Internal Revenue Service (IRS) proposed 236 tax regulations and finalized 231 regulations between January 21, 2017, and March 31, 2026. These regulations included those that implemented provisions of the sweeping tax law changes of 2017, 2022, and 2025. IRS rulemaking procedures generally provided the public with an opportunity to comment on proposed tax regulations. GAO found that Treasury and IRS could improve the usefulness of regulator...
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Program Integrity: Actions Needed to Reduce Improper Payment and Fraud Risks in VA Community Care and Medicare Advantage
What GAO Found The Office of Management and Budget annually designates a list of programs considered high-priority for improper payments. The Department of Veterans Affairs (VA) Community Care program and the Centers for Medicare & Medicaid Services’ (CMS) Medicare Advantage program are two of the 30 programs designated as high priority for fiscal year 2025. VA reported a Community Care improper payment estimate of $608 million for fiscal year 2025, or 2.4 percent of the program’s outlays. CM...
Policy / Regulatory Changes · 70 signals · last 30 days -
Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program; Correction
This document corrects typographical errors in the final rule that appeared in the May 20, 2026, Federal Register titled "Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program."
Policy / Regulatory Changes · 70 signals · last 30 days -
Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action. Int...
Policy / Regulatory Changes · 70 signals · last 30 days -
Healthcare bankruptcy volume 'stabilizes' in H1, though more practices are falling under
Quarterly bankruptcy filings appear to be leveling out after years of volatility, which "is surprising considering the on-the-ground pressures we see operators facing every day," a Gibbins Advisors principal said.
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RESCHEDULED: Chairmen Guthrie and Hudson Announce Hearing on Protecting Communications Networks and Improving Connectivity
**WASHINGTON, D.C.** - Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, and Congressman Richard Hudson (NC-09), Chairman of the Subcommittee on Communications and Technology, announced a hearing titled _Legislative Hearing on Protecting Communications...
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Judge dismisses UnitedHealth’s defamation lawsuit against the Guardian
A Delaware judge has dismissed UnitedHealth Group’s defamation lawsuit against The Guardian following the outlet’s reporting last year that said the insurer secretly paid nursing homes to reduce hospital transfers for its Medicare Advantage members. “We are delighted that Judge Scott has granted all of the Guardian’s motions to dismiss UnitedHealth’s lawsuit on the merits, […] The post Judge dismisses UnitedHealth’s defamation lawsuit against the Guardian appeared first on Becker's Payer Issu...
UnitedHealth DelawareUnitedHealthcare · 37 signals · last 30 days -
Healthcare affordability, fraud are key issues for voters heading into 2026 midterms
Healthcare affordability is still the leading overall issue for voters heading into midterms, though another Trump administration talking point is gaining steam, according to a KFF survey report.
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Meet the leader of the BCBS affiliate in every state
The Blue Cross Blue Shield system is made up of more than 30 independent and locally operated companies. While they share branding and licensing through the Blue Cross Blue Shield Association, some plans functions as their own entity with separate management, operations, and markets. Many of the affiliated plans are owned by large parent organizations, […] The post Meet the leader of the BCBS affiliate in every state appeared first on Becker's Payer Issues | Payer News .
Blue CrossBlue ShieldBlue Cross Blue Shield plans · 21 signals · last 30 days