Author: Scott Welch
The Trump administration is now scrutinizing the American Medical Association over the “influence” its medical billing codes have on healthcare nationwide. Current Procedural Terminology (CPT) codes are meant to “provide a uniform nomenclature for coding medical procedures and services,” according to the AMA. However, some Republicans have raised concerns about whether the AMA currently holds too much sway over the medical care ...
Many seniors and disabled people in California who need long-term care will soon face a dramatic reduction in assets they can keep and still qualify for Medi-Cal. Starting in July 2027, the individual limit will fall from $130,000 to $21,000, while the limit for couples will drop from $195,000 to $31,000 when they apply for ...
Familiar hospitals dominated the latest “Best Hospitals” rankings from U.S. News & World Report, which also rolled out several changes this year. There were a couple of newcomers to the 2026-2027 Honor Roll, which for 4 years now, has been ranked alphabetically instead of ordinally. Mayo Clinic–Florida in Jacksonville joined its counterparts in Minnesota and Arizona on the list, and UC ...
Robert F Kennedy Jr, the US health secretary, on Sunday told American parents that they should get their children vaccinated against measles, as the surge in infections has reached numbers not seen in the past 35 years. Kennedy, a leading vaccination skeptic who has spent years amplifying misinformation about vaccines, including the shot that protects against measles, mumps ...
As care continues to move beyond the hospital, pharmacy has become an increasingly important enterprise capability that influences patient access, financial performance and long-term growth. This evolution is driven not only by drug acquisition costs but also by utilization growth, reimbursement complexity, payer-driven site-of-care restrictions, specialty pharmacy access and advanced therapies. “For health system leaders, ...
California’s highest court on Monday ruled in favor of Gilead Sciences (GILD.O), opens new tab in a closely watched case addressing whether manufacturers of drugs that are considered safe must try developing drugs that could be safer. In a 6-1 decision, the California Supreme Court ordered the dismissal of negligence claims against Gilead by an estimated 24,000 ...
Vanessa Barahona received a call this past spring from Angelica at Kern Family Health Care in Bakersfield, California, telling her it was time to renew her coverage under Medi-Cal, the state’s version of Medicaid. Angelica helped Barahona, 41, schedule an appointment to complete her paperwork in person at Kern Family’s offices before she submitted it ...
Employer benefits are under more pressure and scrutiny than they have been in years. “Cost volatility, more complex workforce needs, tighter regulatory requirements and emerging technologies such as AI are pushing organizations beyond incremental adjustments toward more disciplined benefit management,” according to the latest Benefits Benchmarks report from Gallagher. The report focused on five key ...
The Trump administration announced it will end a subsidy program aimed at keeping premiums low for Medicare Part D beneficiaries. In a notice posted Tuesday, the Centers for Medicare & Medicaid Services released key guidance for Part D plans as they prepare bids ahead of the upcoming annual enrollment period. In it, the agency said it would ...
Democratic attorneys general are making a renewed push to challenge the latest regulation governing the Affordable Care Act’s marketplaces. In a lawsuit filed Friday, the AGs of 21 states, as well as Pennsylvania Gov. Josh Shapiro, argue that the rule, which establishes key policies for the 2027 plan year, will make ACA plans more expensive ...