GOP bill extends telehealth flexibilities, sidesteps ACA subsidies

The continuing resolution would preserve virtual care flexibilities through Nov. 21. But it makes no mention of extending more generous financial assistance for people who buy plans on the ACA exchanges.

Medicare prior authorization pilot raises concerns among providers

The additional red tape could save money, but may harm patient access and quality of care. Stakeholders are urging the CMS to increase transparency and hold participants accountable.

The growing use of AI in healthcare

Optum Rx hikes payment floor on brand name drugs for independent pharmacies

The move builds on the major PBM’s pivot to cost-based pricing for pharmacies announced earlier this year.

AMA releases 2026 medical codes

The American Medical Association unveiled new CPT codes on Thursday amid signs that the Trump administration may reduce the lobby’s influence over the medical billing system.

Doctors slam specialty cuts in 2026 Medicare pay proposal

Major physician groups and specialists commented in droves that regulators missed the mark on the Medicare physician fee schedule for next year.

Democrat governors urge Congress to extend ACA subsidies

Eighteen blue state governors are warning of a looming affordability cliff for millions of Americans if lawmakers allow generous financial assistance to lapse at the end of this year.