Medicare Advantage Signal Feed
Latest scored signals across all monitored sources.
729 signals
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Judi Health rebrands PBM arm as Judi Rx, unveils Judi Care unit
Judi Health is continuing on its rebranding journey and announced on Wednesday that its pharmacy benefit management arm will now operate as Judi Rx.
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Full-body scan startup Neko Health scores $700M to break into the U.S. market
Tech-enabled preventive health startup Neko Health banked $700 million to break into the U.S. market with plans to open a New York City clinic later this year.
SCAN New YorkSCAN Health Plan · 11 signals · last 30 days -
Fierce Healthcare Fundraising Tracker '26: Neko Health banks $700M; Rime secures $24M for voice AI platform
Keep up with all the venture capital dollars being funneled into the health tech and digital health industries.
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Elevance Health leaves D.C. Medicaid market, mulls future exits
Elevance Health is kicking off another round of quarterly earnings results for major insurers, posting $1.5 billion in profit for Q2.
ElevanceElevance Health · 11 signals · last 30 days -
Amazon Pharmacy partners with eNavvi to provide real-time medication pricing, delivery info to providers
The partnership allows providers to see current pricing and stock for prescriptions, including cash pricing versus estimated insurance copays, and delivery estimates.
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Bipartisan House bill tying doc pay to inflation earns resounding applause from providers
Less than a day after a draft rule outlining reimbursement cuts for 2027, heads of the GOP and Democratic Doctors Caucuses introduced a sweeping physician pay overhaul featuring wish list items from primary care capitated payments to mandatory model changes.
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CMS seeks public feedback on 'AMA's monopoly' over CPT codes
The agency joins prominent Republican lawmakers in scrutinizing the government's decades-long reliance on the physician association's proprietary coding system, and said it believes a divorce would not run afoul of statute.
Policy / Regulatory Changes · 70 signals · last 30 days -
West Tennessee Healthcare expands critical care support through eICU Program in partnership with Philips and hellocare.ai
Jackson, TN - West Tennessee Healthcare is continuing to strengthen critical care services across the region through the expansion of its systemwide eICU program powered by Philips eCareManager and integrated with the hellocare.ai virtual care platform.
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UnitedHealth Group to stay 'restless' even after topping investor's Q2 expectations, CEO says
UnitedHealth Group boosted its outlook for the year on the back of $5.5 billion in profit for the second quarter.
UnitedHealthUnitedHealthcare · 37 signals · last 30 days -
GE HealthCare, Catholic Health strike 10-year, $500M technology partnership
The deal is slated to add more than 1,300 new pieces of technology across Catholic Health's 40 hospital and outpatient sites, with additional operational support and access to digital tools.
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CMS proposal to block third-party vendors will upend remote monitoring services, health tech leaders say
Tucked inside a Medicare physician pay draft rule released this week, federal regulators proposed major changes to remote patient monitoring payment policies that experts say will significantly disrupt providers' RPM programs.
Policy / Regulatory Changes · 70 signals · last 30 days -
Senate strikes down Dems move to overturn CMS’ WISeR AI prior auth pilot
Democratic lawmakers in the Senate and House of Representatives introduced resolutions back in May to stop the WISeR model that introduces AI-driven prior authorization to traditional Medicare.
Policy / Regulatory Changes · 70 signals · last 30 days -
Weekly Rundown: Novant Health rolls out new virtual primary care model; GW RhythmX launches Pulse on Microsoft Marketplace
Stay up to date on the latest in health tech, digital health and health AI news with this weekly brief.
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UnitedHealthcare exec says 'ineffective' No Surprises Act IDR process demands reform
Industry giant UnitedHealthcare is adding its voice to the chorus of insurers criticizing the current state of the No Surprises Act's independent dispute resolution process.
UnitedHealthcareUnitedHealthcare · 37 signals · last 30 days -
CMS Launches Medicare GLP-1 Bridge, Expanding Access to GLP-1 Medications
CMS Launches Medicare GLP-1 Bridge, Expanding Access to GLP-1 Medications Eligible Medicare beneficiaries may now get certain GLP-1 medications for $50 per month through the Medicare GLP-1 Bridge, a new Centers for Medicare & Medicaid Services (CMS) initiative designed to expand access to innovative treatments and test the impacts of increased access to GLP-1 drugs for weight management on the Medicare program.
Policy / Regulatory Changes · 70 signals · last 30 days -
CMS Acts to Strengthen Care Quality, Cut Drug Costs, and Slash Out-of-Pocket Expenses for Medicare Beneficiaries
CMS Acts to Strengthen Care Quality, Cut Drug Costs, and Slash Out-of-Pocket Expenses for Medicare Beneficiaries In a move aimed at reshaping how Medicare pays for certain outpatient care services, the Centers for Medicare & Medicaid Services (CMS) today announced a proposed rule that would revise payment policies and rates for hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs) beginning in Calendar Year (CY) 2027 — signaling a renewed federal push to lower costs f...
Policy / Regulatory Changes · 70 signals · last 30 days -
Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule (CMS-1850-P)
Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule (CMS-1850-P) On July 2, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for hospital outpatient and Ambulatory Surgical Center (ASC) services under the Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System Proposed Rule for calendar year (CY) 2027. CMS is publishi...
Policy / Regulatory Changes · 70 signals · last 30 days -
CMS Announces Resources, Flexibilities to Assist with Public Health Emergency in Guam and the Commonwealth of the Northern Mariana Islands
CMS Announces Resources, Flexibilities to Assist with Public Health Emergency in Guam and the Commonwealth of the Northern Mariana Islands The Centers for Medicare & Medicaid Services (CMS) announced today additional resources and flexibility available in response to a Public Health Emergency (PHE) in Guam and the Commonwealth of the Northern Mariana Islands (CNMI) due to emergency conditions resulting from Super Typhoon Bavi beginning July 2 and continuing. CMS is working closely with Guam a...
Policy / Regulatory Changes · 70 signals · last 30 days -
CMS Proposes Transformational Medicare Reforms to Expand Accountable Care, Modernize Physician Payment, and Shift from Sick Care to Healthcare
CMS Proposes Transformational Medicare Reforms to Expand Accountable Care, Modernize Physician Payment, and Shift from Sick Care to Healthcare The Centers for Medicare & Medicaid Services (CMS) is proposing transformational reforms to Medicare’s physician payment and value-based care programs that would expand accountable care, modernize physician payment, reduce administrative burden, and help shift the healthcare system’s focus from treating illness to preventing it.
Policy / Regulatory Changes · 70 signals · last 30 days -
Calendar Year (CY) 2027 Medicare Physician Fee Schedule Proposed Rule (CMS-1848-P) — Medicare Shared Savings Program Proposals
Calendar Year (CY) 2027 Medicare Physician Fee Schedule Proposed Rule (CMS-1848-P) — Medicare Shared Savings Program Proposals
Policy / Regulatory Changes · 70 signals · last 30 days -
Strengthening Original Medicare
Strengthening Original Medicare By Center for Medicare
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Manufacturer Effectuation of MFP Draft Guidance for 2028 Medicare Drug Price Negotiation
Medicare Drug Price Negotiation Program: Draft Guidance for Manufacturer Effectuation of the Maximum Fair Price in 2028
Financial / Operating Pressure · 13 signals · last 30 days -
CMS Modernizes Nursing Home Oversight with New Risk-Based Survey Approach Designed to Highlight High Performance, Encourage Improvement
CMS Modernizes Nursing Home Oversight with New Risk-Based Survey Approach Designed to Highlight High Performance, Encourage Improvement
Policy / Regulatory Changes · 70 signals · last 30 days -
Journalists Dig Into HHS’ Covid Injury List, ACA Sign-Ups, and Telehealth
KFF Health News journalists made the rounds on national or local media recently to discuss topical stories. Here’s a collection of their appearances.
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Opinion: STAT readers on the value of primary care, obesity as a disease, and more
“The real opportunity is to move beyond policies and narratives that pit specialties against one another,” presidents of the AAFP, ACP, and AAP write.