Plus, UHG, Humana support MA home visit changes

This Week

Jun 7, 2025

GOP Senators mull Medicare cuts in bid to get megabill over the finish line: media report


Omada Health prices IPO at $19 per share, in middle of price range


CMS commits to tech initiatives to give Medicare patients, providers easier access to health data


One Big Beautiful Bill would raise hospitals' uncompensated care costs by $42B in 2034, industry trade group says


UnitedHealth Group, Humana support Medicare Advantage home visit changes - Heather Landi

 

Featured

GOP Senators mull Medicare cuts in bid to get megabill over the finish line: media report

As senators seek a path forward for President Trump's "big beautiful bill," Medicare cuts are reportedly on the table, according to media reports. The version of the bill that passed the House in May includes work requirements imposed sooner and changes to state-directed payments, cost-sharing reductions, eligibility checks and gender-affirming care.
 

Top Stories

Omada Health prices IPO at $19 per share, in middle of price range

Omada Health, a virtual chronic care provider, aims to raise $158 million through its initial public offering, potentially valuing the company at approximately $1.1 billion.

CMS commits to tech initiatives to give Medicare patients, providers easier access to health data

CMS is exploring a number of new tech initiatives to make it easier for providers and patients to access data, including a national provider directory, a modern identity solution for patients and expanding patient APIs.

One Big Beautiful Bill would raise hospitals' uncompensated care costs by $42B in 2034, industry trade group says

A new analysis of the House-passed package based on Wednesday's Congressional Budget Office projections outlines billions in costs borne by hospitals due to Medicaid payment shortfalls and care for the uninsured.

UnitedHealth Group, Humana support Medicare Advantage home visit changes

The country's two largest Medicare Advantage companies are suggesting policies to reform controversial billing practices, including health risk assessments.

UnitedHealth posts shareholder FAQ that offers greater detail on C-suite strategy

UnitedHealth Group hosted a shareholder meeting earlier this week amid a series of financial challenges and negative headlines, and a FAQ document posted to its website Wednesday offers a look at the questioning that executives were bracing for.

Unpacking the 25% HHS budget cut proposed by the Trump administration

HIV and cancer prevention advocates are among the groups worried over cuts to critical programs at HHS under a new fiscal year 2026 budget request.

Medicaid work requirements in reconciliation bill revive calls to update managed care texting ban

Medicaid plans want Congress to let managed care organizations text members, a practice currently banned, in an upcoming reconciliation bill.

NIH seeks comment on creation of first AI strategic plan, adds to tranche of AI support in HHS

The National Institutes of Health is seeking comment from industry on a new artificial intelligence strategy for the agency.

Arkansas Gov. Sanders doubles down on law barring PBMs from owning pharmacies

Pharmacy benefit management giants Express Scripts and CVS Health are suing Arkansas officials to challenge a law that bars PBMs in the state from owning pharmacies.

Centene faces ghost network lawsuit after member dies without receiving mental healthcare

A new lawsuit details the difficulty one family had in securing mental healthcare for an adult with Centene insurance coverage, the latest high-profile example of members needing to wade through so-called "ghost networks."
 
Fierce podcasts

Don’t miss an episode

What’s next for tech-enabled home care? A look at the policy road ahead

This week on "Podnosis," we’re examining the future of tech-enabled home care and the policy decisions that could determine whether these models become permanent fixtures in the U.S. healthcare system.
 

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