Prior Authorization Legislation Takes Center Stage at Joint Hearing on Health Care Affordability
A joint hearing held on Jan. 22 by the U.S. House of Representatives Energy & Commerce Subcommittee on Health and the...
Industry
House Passes Appropriations Bill, Votes to Postpone Medicare Cuts to Clinical Laboratory Fees
The U.S. House of Representatives passed the Consolidated Appropriations Act of 2026 (H.R. 7148) on Jan. 22 with a vote...
CLIA Certificates and Fee Coupons Going Digital on March 1
The Centers for Medicare & Medicaid Services will switch to electronic fee coupons and Clinical Laboratory Improvement...
Congressional Hearing Includes Discussion on the RESULTS Act Among Other Bills to Modernize Medicare
The House Committee on Energy & Commerce Subcommittee on Health held a hearing Jan. 8 entitled “Legislative Proposals...
CMS Seeks Public Comment About Medicare Advantage Modernization
The Centers for Medicare & Medicaid Services opened a Request for Information (RFI) asking for public comment about how...
CMS Hosts Meeting to Discuss ACCESS Model to Modernize the Digital Health Ecosystem
On Dec. 4, the Centers for Medicare & Medicaid Services convened a meeting with government and health care leaders to...
Appropriations Bill Amendment Would Delay Rollout of the CMS WISeR Model
Stakeholders within the medical community are applauding congressional efforts to delay rollout of the Centers for...
CMS Updates End-Stage Renal Disease Prospective Payment System for 2026
The Centers for Medicare & Medicaid Services recently updated the payment rates and policies under the End-Stage Renal...
Continuing Appropriations Legislation Delays Clinical Laboratory Fee Schedule Cuts
The legislative spending package passed in Congress on Nov. 12 includes a provision that delays steep cuts to the...
AHA Urges CMS to Delay Implementation of Prior Authorization Model That Would Employ Use of Artificial Intelligence
The American Hospital Association (AHA) is urging the Centers for Medicare & Medicaid Services (CMS) to make certain...
AHA and Other Stakeholder Organizations Urge Passage of RESULTS Act
On Oct. 30, the American Hospital Association and other organizations, including the College of American Pathologists,...
UHC Expanding Smart Edits EDI Capability to Identify Potential Billing Claim Errors
United Healthcare (UHC) released a new claims optimization tool in the electronic data interchange (EDI) workflow to...