Home Care Costs for Seniors Hitting Record Highs
Explore why at-home care costs for the elderly have soared to new heights, driven by increased labor costs and a growing elderly population, and what this means for families and the healthcare system.
Healthcare Payers
New Mexico Looking to Use Managed Care to Enhance Behavioral Health Services
In a policy shift, the New Mexico Human Services Department is increasing requirements on managed care organizations to address gaps in behavioral health care access, setting more rigorous standards for service provision.
Kansas Selects Three Managed Care Organizations for KanCare Services
The Kansas Department of Health and Environment has chosen three managed care organizations to administer KanCare, Kansas’s Medicaid program, from 2025 through 2027, aiming to improve healthcare accessibility and quality.
CMS Medicaid Managed Care Final Rule to Enhance Parity in Healthcare Payments
The Centers for Medicare & Medicaid Services (CMS) has introduced two significant regulatory updates aimed at improving Medicaid access and aligning provider payments with commercial healthcare plans.
HHS Enacts New Rule to Enhance Disability Rights in Healthcare
The U.S. Department of Health and Human Services finalizes a rule to strengthen disability discrimination protections under Section 504. The rule is designed to ensure equitable access to healthcare and social services for those with disabilities.
FTC Implements Nationwide Ban on Non-Compete Agreements, Stirring Major Changes in Healthcare Sector
The Federal Trade Commission has finalized a rule banning non-compete agreements for most U.S. workers, including healthcare professionals, set to transform employment dynamics and potentially lower healthcare costs.
CMS Implements New Regulations to Enhance Medicare Advantage
CMS announces a new final rule for Medicare Advantage and Part D plans to improve consumer protections, prevent deceptive marketing, and enhance behavioral health access.
OIG Report Finds Medicaid Managed Care Fails Mental Health Parity Standards
A recent report from the Office of Inspector General uncovers significant non-compliance with Medicaid managed care mental health parity requirements in eight states, sparking calls for improved CMS oversight.
CMS Unveils Plan to Boost Skilled Nursing Facility Payments and VBP Program
The Centers for Medicare & Medicaid Services announces the ACO Primary Care Flex Model, a new initiative designed to boost primary care within the Medicare Shared Savings Program, starting in 2025.
CMS to Launch New Primary Care ACO Model in 2025
The Centers for Medicare & Medicaid Services announces the ACO Primary Care Flex Model, a new initiative designed to boost primary care within the Medicare Shared Savings Program, starting in 2025.