CMS Mulls Tougher Medicare Enrollment Rules To Combat Fraud As Part Of 2027 Home Health Payment Rule

The Centers for Medicare and Medicaid Services released on Wednesday afternoon its 2027 proposed payment rule for home health agencies. The rule includes an aggregate payment increase of $420 million, or 2.4%, based on a proposed 2.1% payment update and an estimated 0.3% increase related to the fixed dollar loss ratio. That 2.1% payment update ...

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Newsom Vowed To Transform Kids’ Mental Health. Many California Schools Are Still Waiting.

When Taletha Washburn and the staff at Plumas Charter School first heard that California wanted to help schools treat more kids struggling with mental health, it felt like a well-timed remedy for a rural community where families struggle to find care. Getting the program funding up and running, however, has proved difficult. Employees spent two ...

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CMS Goes Live With GLP-1 Bridge Program For Part D Beneficiaries

The Trump administration has officially launched its new “bridge” model that brings GLP-1 coverage for weight loss to Medicare beneficiaries. Eligible people enrolled in Medicare Part D can secure certain GLP-1 medications for weight loss or management at $50 each month. The program will remain in place through the end of 2027, the Centers for ...

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Health Care Leads The Way In June Small Business Hires

Small businesses added an estimated 32,900 new jobs in June — led by the Health Care and Social Assistance sector — marking the fifth consecutive month of positive net hiring across all sectors, according to the June 2026 Small Business Jobs Report from Gusto, a leading payroll, HR, and benefits platform. The Health Care and Social ...

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Copay Assistance Is Meant To Defray Patient Drug Costs. Some Insurers Keep It Instead.

For 16 years, Larry Gruber, a fitness coach from Wilton Manors, Florida, received a coupon card to help him pay for a psoriatic arthritis medication he needs that costs more than $7,700 a month. Each year, Amgen, which makes the drug, called Enbrel, sent the coupon card worth thousands of dollars, and that counted toward Gruber’s ...

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With Tougher Times Ahead, Hospitals Need To Be Planning Now

Some hospitals are struggling financially, and some are holding their own, but even stronger health systems need to be looking toward the future. Hospitals are expected to face continuing cost increases in labor and supplies, and Medicaid cuts unfolding over the next several years are going to create more pressures. Joe Kight, head of healthcare ...

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