Susan Morse

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Senate removes PBM provision from tax and spending bill

House Republicans are reportedly expected to pass President Trump’s spending bill today after holding a marathon voting session during the night.
All are watching to see what remains in the final version of the “Big Beautiful Bill” before it heads to T…

Senate boosts rural hospital fund to offset Medicaid cuts

The Senate version of the “Big Beautiful Bill” could come up for a vote as early as today in the House.
House passage is the last hurdle before the bill reaches President Trump’s desk for his signature.

CMS launches prior authorization pilot for Original Medicare

The Centers for Medicare and Medicaid Services has announced a prior authorization program pilot for original Medicare.

6.4% payment decrease proposed for home health agencies

Home health agencies are facing a proposed 6.4% decrease in Medicare payments in 2026, compared to 2025.

What’s in, out for healthcare in ‘Big Beautiful Bill’

The Senate continues to hammer away at passing President Trump’s “Big Beautiful Bill,” working through the weekend and holding a vote-a-rama session on Monday. 
If and when it passes, the House would need to approve the Senate’s changes to the reconcil…

Patrick Conway to take over CEO duties at Optum Health

Dr. Patrick Conway, who was named CEO of Optum in May, is also taking on the position of leading Optum Health, according to a statement from the company.

AdvancedMD, NGA Healthcare partner to get higher ambulatory reimbursement

AdvancedMD and NGA Healthcare have partnered to help independent medical practices get higher reimbursement rates from payers.
 

AHA television ad asks Congress to protect access to hospital care

This week, providers and other stakeholders are coming out in force in asking legislators to protect Medicaid.
Ahead of an expected vote in the Senate on the “Big Beautiful Bill,” the American Hospital Association has launched an ad urging Congress to …

Additional 55 rural hospitals at risk of closure should Medicaid cuts pass 

Rural hospitals will have to scale back services or close altogether should the Senate pass President Donald Trump’s Big Beautiful Bill, according to a new report from Families USA and rural health providers in West Virginia and Iowa.

CMS final rule cracks down on improper ACA enrollments

The Centers for Medicare and Medicaid Services issued a final rule on Friday intended to crack down on what it calls improper enrollment in Affordable Care Act plans.