Medicare Advantage Signal Feed
Latest scored signals across all monitored sources.
734 signals
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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Manufacturer Effectuation of MFP Draft Guidance for 2028 Medicare Drug Price Negotiation
Medicare Drug Price Negotiation Program: Draft Guidance for Manufacturer Effectuation of the Maximum Fair Price in 2028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 · 74 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.
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Deals tracker: Cross Country Healthcare deal moves forward
Follow here for all the latest news about mergers, acquisitions and joint partnerships in the healthcare industry.
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Centene wins dismissal of employee retirement plan lawsuit
A federal judge has dismissed a proposed class action lawsuit that accused Centene of mismanaging its employees’ 401(k) retirement plan, ruling the former employee who brought the case did not adequately show she was harmed. In its July 16 decision, the U.S. District Court for the Northern District of California gave the former employee until […] The post Centene wins dismissal of employee retirement plan lawsuit appeared first on Becker's Payer Issues | Payer News .
Centene CaliforniaCentene · 11 signals · last 30 days -
CMS posts updated FAQ on PAMA clinical laboratory private payer data reporting
The Centers for Medicare & Medicaid Services has released an updated FAQ on Protecting Access to Medicare Act private payer data reporting. The deadline is July 31 for hospital outreach laboratories to report required private payer clinical diagnostic laboratory data to CMS for services furnished during the first six months of 2025. This includes Healthcare Common Procedure Coding System codes, associated private payer rates and volume data. A guide and other resources are also available from...
Policy / Regulatory Changes · 74 signals · last 30 days -
Draft guidance released for 2028 cycle of Medicare drug price negotiations
The Centers for Medicare & Medicaid Services July 16 released draft guidance for the 2028 cycle of negotiations under the Medicare Drug Price Negotiation program. Policies on incorporating drugs payable under Medicare Part B or covered under Part D are included in the guidance. It also describes procedures that may apply to drug manufacturers, Part D plan sponsors, Medicare Advantage organizations, pharmacies, mail order services and other Part D drug-dispensing entities, as well as hospitals...
Policy / Regulatory Changes · 74 signals · last 30 days -
Intuitive Surgical drops as ACA changes, GLP-1s weigh on growth
On the earnings call, Intuitive Surgical executives said softer U.S. growth in procedures reflected changes to Affordable Care Act subsidies.
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Senate Republicans block effort to repeal Medicare AI prior authorization pilot
Senate Republicans have blocked an effort to advance a Democratic-led resolution to repeal CMS’ Wasteful and Inappropriate Service Reduction model, an AI-assisted prior authorization pilot within the traditional Medicare program. On July 16, senators voted 46-50 along party lines against a motion to move the measure forward. Oregon Sen. Ron Wyden, the ranking Democrat on […] The post Senate Republicans block effort to repeal Medicare AI prior authorization pilot appeared first on Becker's Pay...
Policy / Regulatory Changes · 74 signals · last 30 days -
PBMs pitch bolder ways to rein in employer drug costs
Pharmacy benefit managers such as LucyRx, MedImpact and MedOne offer access to lower-cost drugs from foreign countries.
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Hospitals’ RCM staffing crunch opens door for AI vendors
Hospitals are turning to outside revenue cycle vendors as staffing shortages and documentation complexity make AI tools attractive.
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Judge stays Trump administration policies set to shrink ACA marketplaces
On Thursday, a federal judge pressed pause on the CMS’ expansion of bare-bones catastrophic plans and other changes finalized in a rule this spring, saying they were likely to raise costs and hurt access.
Policy / Regulatory Changes · 74 signals · last 30 days -
Watch: ‘Robust’ Primary Care, Transparency Top Employers’ Reform Wish List
KFF Health News’ Julie Rovner interviews Elizabeth Mitchell, the president and CEO of the Purchaser Business Group on Health, about systemic healthcare changes backed by large employers, which cover millions of Americans.
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Agency Information Collection Activities: Submission for OMB Review; 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 a second opportunity for public comment on the notice....
Policy / Regulatory Changes · 74 signals · last 30 days -
Optum names chief AI officer
Shobhit Varshney has been named chief AI officer at Optum. Mr. Varshney said July 16 on LinkedIn that he will focus on AI strategy, platform and delivery. He will oversee the enterprise AI platform, including United AI Studio, AI and data science teams, and governance policies. He joins from Citi, where he was global head […] The post Optum names chief AI officer appeared first on Becker's Payer Issues | Payer News .
OptumUnitedHealthcare · 37 signals · last 30 days -
UnitedHealthcare: No Surprises arbitration system ‘needs to be reformed’
UnitedHealthcare is the latest insurer calling for an overhaul of the No Surprises Act’s arbitration system. “The IDR process is not working, certainly not as Congress intended it, and it needs to be reformed,” Dan Kueter, CEO of the insurer’s employer and individual business, said on UnitedHealth Group’s second-quarter earnings call July 16. Mr. Kueter […] The post UnitedHealthcare: No Surprises arbitration system ‘needs to be reformed’ appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcareUnitedHealthUnitedHealthcare · 37 signals · last 30 days -
New Federal Medicaid Work Reporting Requirements Rule Threatens Coverage for Vulnerable Americans: An Explainer of the Interim Final Rule
On June 1, 2026, the Centers for Medicare & Medicaid Services (CMS), published the Interim Final Rule with Comment (CMS-2454-IFC, hereafter referred to as the IFR) “Medicaid Program; Community Engagement Requirement for Certain Individuals” as required by the 2025 Budget Reconciliation Law (hereafter referred to as H.R. 1). States that have expanded Medicaid to adults […]
Policy / Regulatory Changes · 74 signals · last 30 days -
STAT+: Despite earnings celebration, UnitedHealth signals more financial pain for employers
Insurance giant UnitedHealth signals the cost of providing workers with health insurance will climb even higher.
UnitedHealthUnitedHealthcare · 37 signals · last 30 days -
UnitedHealthcare recovery in swing but challenges remain
UnitedHealth Group profits are up as its insurance operations emerge from a difficult period.
UnitedHealthcareUnitedHealthUnitedHealthcare · 37 signals · last 30 days -
CMS announces national implementation of risk-based survey process for high-performing nursing homes
The Centers for Medicare & Medicaid Services July 16 announced nationwide implementation of a new risk-based survey review process for high-performing nursing homes. CMS pilot tested the RBS process in more than 100 facilities in 22 states beginning in 2023. The initiative includes the addition of an icon on higher performing facilities in CMS’ Care Compare tool. CMS said the approach would reduce time required and staff members needed to conduct standard recertification surveys at higher per...
Policy / Regulatory Changes · 74 signals · last 30 days -
UnitedHealth posts $5.5B profit in Q2
UnitedHealth Group posted nearly $5.5 billion in profit for the second quarter of 2026, up sharply from the same period last year. The company released second-quarter earnings July 16, raising its full-year outlook to a range of $18.45 to $18.95 per share, with adjusted earnings of $19.50 to $20.00 per share. UnitedHealth GroupRevenue was $112 […] The post UnitedHealth posts $5.5B profit in Q2 appeared first on Becker's Payer Issues | Payer News .
UnitedHealthUnitedHealthcare · 37 signals · last 30 days -
UnitedHealth reports quarterly profit above Wall Street estimates
The results are a hopeful sign for UnitedHealth Group’s financial recovery.
UnitedHealthUnitedHealthcare · 37 signals · last 30 days -
Legislation considered under suspension of the Rules of the House of Representatives during the week of July 20, 2026
The Majority Leader of the House of Representatives announces bills that will be considered under suspension of the rules in that chamber. CBO estimates the effects of those bills on direct spending and revenues.