Although knee replacements are usually covered by health insurance, amputees face roadblocks to coverage and often must prove their prosthetics are medically necessary.
Category: Health Insurance
CMS denies Humana’s Medicare Advantage star ratings appeal
The Centers for Medicare and Medicaid Services has rejected an appeal from Humana to improve the latter’s Medicare Advantage star ratings, which could cost the insurer significant revenue in 2026.
On April 15, Humana and American for Beneficiary Choice…
KFF Health News’ ‘What the Health?’: On Autism, It’s the Secretary’s Word vs. CDC’s
Tensions between Robert F. Kennedy Jr. and his employees at the Department of Health and Human Services are mounting, as he made a series of claims about autism this week — contradicting his agency’s findings. Plus, President Donald Trump unveiled an executive order to lower drug prices as his administration explores tariffs that could raise them. Shefali Luthra of The 19th, Jessie Hellmann of CQ Roll Call, and Anna Edney of Bloomberg News join KFF Health News’ Emmarie Huetteman to discuss these stories and more. Plus, KFF Health News’ Julie Rovner interviews two University of California-San Francisco researchers about an upcoming Supreme Court case that could have major ramifications for preventive care.
Tariffs will impact supply chain and balance sheet stability
The volatility of President Trump’s tariff policies is making it difficult for hospital executives to pin down the effect they will have on the supply chain and budget.
CFOs are also weighing the effect tariffs will have on the economy and inflation, a…
AdventHealth to begin construction on new $43.2 million cancer institute
Construction will soon begin on the AdventHealth Cancer Institute at Winter Garden, a $43.2 million investment from AdventHealth designed as a response to the growing demand for cancer care in the West Orange and South Lake counties of Florida.
Physician pay rises, but attitudes about compensation are declining
Average pay for physicians rose 3.6% during 2024, a new Medscape report has found, but it’s one of the lower raises since the company began tracking physician compensation in 2011, and the overall sentiment among physicians regarding fair compensation …
The Effect of Delaying the Selection of Small Molecule Drugs for Medicare Drug Price Negotiation
In a new Trump administration executive order, the Secretary of HHS is directed to work with Congress to implement a change in law to delay negotiation of so-called “small molecule” drugs under the Inflation Reduction Act’s Medicare Drug Price Negotiat…
Trump’s executive order on drugs seeks to end pharma ‘pill penalty’
President Trump has signed an executive order on prescription drug prices that walks back the “pill penalty” decried by PhRMA in President Biden’s Inflation Reduction Act.
Inpatient rehabs receive proposed 2.6% payment increase
The Centers for Medicare and Medicaid Services has proposed a 2.6% payment rate increase for inpatient rehabilitation facilities in 2026.
The 2.6% is based on a market basket update of 3.4%, less a proposed 0.8 percentage point productivity adjustment,…
Ascension Saint Thomas, PathPoint partner on metabolic health
Tennessee-based health system Ascension Saint Thomas is entering into a joint venture with PathPoint Health, a metabolic care provider, to help individuals prevent and manage metabolic conditions, including diabetes and obesity.
